Patient Service Representative

Overview

• Serve as a Patient Service Representative in a healthcare setting, providing essential support to Women's Health and Pediatrics departments.
• Assist patients with scheduling, referrals, insurance checks, and sliding scale payments based on ability to pay.
• Educate and facilitate enrollment of uninsured individuals into public and private insurance programs through the New York Health Benefit Exchange.
• Conduct outreach efforts with community-based organizations, schools, and health fairs to promote insurance enrollment.
• Provide in-person assistance and information about health insurance eligibility and requirements to individuals and families.
• Support small businesses in providing health insurance to employees through the Small Business Health Option Program.
• Maintain organized records of applications and outcomes, reporting regularly to supervisors.
• Participate in seminars, meetings, and conferences to stay updated on health insurance developments.
• Work evenings and weekends as needed for outreach events.

Key Responsibilities & Duties

• Educate community members about insurance options and assist with enrollment through the online marketplace.
• Facilitate enrollment into entitlement programs such as Medicaid, Child Health Plus, and Managed Care Plans.
• Provide guidance on health insurance eligibility, income requirements, and plan renewals.
• Conduct educational seminars for individuals, families, and small businesses regarding insurance plans and programs.
• Assist enrollees with grievances, complaints, or questions about their health coverage.
• Promote healthcare services and distribute information in community settings.
• Travel to different work sites and adapt to various environments as required.
• Attend training sessions and meetings to enhance knowledge of health insurance programs.
• Perform other duties and projects as assigned by supervisors.

Job Requirements

• High School Diploma or GED required; Associate's degree preferred.
• Minimum of 2 years of experience in contact center operations or healthcare settings.
• Proficiency in electronic medical records software (eCW) preferred.
• Experience enrolling patients in ACA, Medicaid, and other entitlement programs preferred.
• Bilingual English/Spanish skills preferred but not required.
• Strong verbal and written communication skills essential.
• Ability to work evenings and weekends for outreach events.
• Excellent interpersonal skills and adaptability to various work environments.
• Good working knowledge of Microsoft Office applications.