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Patient Service Specialist
Patient Service Specialist-November 2024
Worcester
Nov 7, 2025
ABOUT UNITEDHEALTH GROUP
With offices around the world, UnitedHealth Group's headquarters are located in the Minneapolis metropolitan area.
10,000+ employees
Healthcare
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About Patient Service Specialist

  Opportunities with Reliant Medical Group. When you join Reliant, you'll be part of a community-based, multi-specialty, physician-led medical group. Everyone works collaboratively on a common purpose: improving the quality, cost and experience of health care. With the resources of a global health organization - Optum - behind us, we're at the forefront of value-based care. Supported by a patient-centric business model - integrated care teams focus on the best patient care, rather than volume. Here, you'll contribute to an exceptional patient experience. Discover a place where you can help shape the future of health care and do your life's best work.(sm)

  Location: 123 Summer St, Worcester, MA, 01608

  Primary Responsibilities:

  Verifies, re-verifies and authorizes patient insurance coverage and eligibility utilizing computer-based patient registration/scheduling system. Verifies and updates demographic, insurance, and other patient information. Confirms, collects, and posts patient co-payments and other outstanding balances Generates and tracks patient encounter forms using end of day processes. Review's patient encounter forms for completeness and resolves any discrepancies Maintains records and makes daily cash deposit as assigned Receives and addresses patient-care related telephone calls via an incoming work queue aligning with department metrics. Provides routine information on procedures and standard policies, refers matters to appropriate person within department/site Identifies problem related priorities, and responds to emergency needs by contacting/interrupting physician/provider within guidelines Documents appropriate information in computer system. Prepares patient charts. Ensures completeness by locating test results, reminding patients of appointments, including appropriate forms, etc., for patient appointments Updates and maintains EPIC in-basket messaging in computer system. Follows through on requests. Distributes messages to appropriate provider or others for appropriate action Enters new referrals or ensures that existing referral numbers are linked in the system to ensure managed care requirements Provides patient education regarding managed care plans and referral process. Answers patients' referral questions, concerns, etc. Provides patient with available options Works collaboratively with primary care practices, patients and specialty practices to process outgoing referrals prior to scheduled visits. Follows up with practices that do not issue a referral or obtain referral on a timely basis. Interfaces with staff, providers and patients regarding denied referrals. Document's information and assists with alternate plan of care, if needed Completes and maintains patient schedules. Schedules and coordinates patient visits, medical procedures for both inpatients and outpatients. Communicates with patients regarding all information related to scheduled appointments. Ensures all authorizations are completed in full Notifies providers, patients and others of changes such as new scheduling, re-scheduling, no-show, emergency appointments and add-ons Maintains recall lists and communicates with patients as appropriate Provides guidance to departmental personnel in medical office on administrative policies and procedures Complies with health and safety requirements and with regulatory agencies such as DPH, etc Complies with established departmental policies, procedures, and objective Enhances professional growth and development through educational programs, seminars, etc Attends a variety of meetings, conferences, and seminars as required or directed Regular, reliable and predictable attendance is required Performs other similar and related duties as required or directed

  You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

  Required Qualifications:

  High School Diploma/ GED (or higher) 1+ year of customer service experience in a medical office/healthcare setting Intermediate proficiency in various software applications, such as outlook, etc

  Preferred Qualifications:

  Additional specialized medical secretarial/medical office training Superior customer service skills including the ability to multi-task and resolve patient concerns in a timely manner Ability to think critically and exercise sound judgment Excellent communication, interpersonal and organizational skills

  At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

  Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

  UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

  #RPO, #RED

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