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Tufts Medicine · 2 days ago

Patient Service Representative I - Weekend Evenings & Holidays

Boston, MA

Full-time

Onsite

Entry Level

$20.12/hr - $25.15/hr

1+ years exp

Tufts Medicine is seeking a Patient Service Representative I to assist with revenue cycle operations and patient access duties. The role involves collecting patient information, verifying insurance, and ensuring financial clearance for clinical services while providing excellent customer service.

Health CareHospitalMedical

H1B Sponsor Likely

Responsibilities

Conducts Pre-Registration tasks for specified inpatients and outpatients prior to their date of service including: collects demographic, financial, and clinical information necessary for financial clearance of scheduled patients; obtains missing insurance information via patient’s family or physician offices; and completes insurance verification using online electronic verification system or contacting payor directly

Obtains consent for treatments and authorizations as necessary. Explains signature requirements to patients and patient’s representatives in a manner that is easily understood by the patient or their representative

Verifies the validity of insurance coverage via eligibility tools. Ensures the appropriate plan codes have been added to registration based on the information provided in the eligibility response. Educated on different insurance plans and coordination of benefits. Able to identify if there are any concerns with coverage after checking insurance eligibility

Collects the appropriate information for auto and worker’s compensation registrations including information collected from the responsible party including the auto or worker’s compensation carrier, agent and/or employer. If full information is not collected, notes are properly documented as to why the information was not collected or available

Notifies patient of financial liabilities as determined by insurance benefits, coverage limits, and appointment/procedure-specific charges

Takes an active role in the collection of patient payments. Understands all collection policies and procedures that pertain to time-of-service collections. Communicates these policies effectively to patients following prescribed scripting. Understands the use of credit card devices regarding payments and credits. Is aware of all types of credit cards accepted by the organization

Posts collected payments in system of record and verify appropriate dollar amount and volume are posted in compliance with department guidelines

Provides Financial Counselor contact information to patients qualifying for state-sponsored financial assistance. Documents patient’s financial state and related information in system of record for reference of hospital administration and billing

Obtains authorization, pre-certification, referral, and/or notification as necessary. Attaches verification to patient’s account and documents information in the system of record for reference of hospital administration and billing

Takes personal responsibility to provide excellent customer service and delivers exceptional professional courtesy to all patients

Interacts with physicians, nursing units, and office staff in a courteous and professional manner

Maintains hospital financial information confidentially in accordance with all hospital policy and any state or federal regulations such as the HIPAA Privacy & Security Standards

Meets the requirements of area specific benchmarks related to productivity and customer service such as wait times, call monitoring score card scores, number of registrations or calls processed, etc

Qualification

Customer service skillsInsurance verificationData entryMedical terminologyPatient registration systemsOrganizational skillsInterpersonal skillsAttention to detailFlexibility

Required

High school diploma or equivalent

1 week of full time training orientation is required Monday through Friday from 8:30-5 PM

Required to work all observed Tufts Medicine holidays

Preferred

One (1) year of experience in customer service setting, hospital registration, medical office, insurance, etc

Benefits

Comprehensive Total Rewards package that supports your health, financial security, and career growth

Company

Tufts Medicine

Tufts Medicine is a health system offering healthcare services.

Founded in 2014

Burlington, Massachusetts, USA

10001+ employees

https://www.tuftsmedicine.org

H1B Sponsorship

Tufts Medicine has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (1)

2023 (1)

2022 (2)