Patient Service Representative

Overview

• Serve as a Patient Service Representative in a dynamic healthcare environment, ensuring exceptional patient support and streamlined service delivery.
• Assist patients with scheduling, referrals, insurance verification, and payment arrangements to enhance their healthcare experience.
• Educate uninsured individuals about available insurance programs and facilitate their enrollment process efficiently.
• Collaborate with community organizations and participate in outreach events to promote healthcare access and awareness.
• Provide detailed guidance on insurance eligibility, requirements, and benefits to individuals and families.
• Maintain accurate and organized records of patient interactions and enrollment outcomes for reporting purposes.
• Stay updated on healthcare developments through training sessions and seminars to enhance service quality.
• Contribute to a patient-focused team dedicated to improving healthcare accessibility and satisfaction.

Key Responsibilities & Duties

• Educate community members about insurance options and assist with enrollment through user-friendly online platforms.
• Facilitate patient enrollment in programs such as Medicaid, Child Health Plus, and Managed Care Plans.
• Provide comprehensive guidance on insurance eligibility, income requirements, and plan renewals.
• Conduct informative seminars for individuals, families, and small businesses regarding insurance plans and benefits.
• Assist patients with grievances, complaints, or inquiries about their health coverage effectively.
• Promote healthcare services and distribute informational materials at community events and health fairs.
• Travel to various work sites and adapt to diverse environments to meet outreach goals.
• Participate in training sessions and meetings to enhance knowledge of insurance programs and services.

Job Requirements

• High School Diploma or GED required; Associate's degree preferred.
• Minimum of 2 years of experience in healthcare settings or contact center operations.
• 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 for patient interaction.
• Availability to work evenings and weekends for outreach events as needed.
• Proficiency in Microsoft Office applications and other relevant software tools.