Patient Services Agent / Patient Service Representative

Patient Services Agent / Patient Service RepresentativeThe Patient Service Representative provides customer service to the company's Medicare and Medicaid members to ensure patient satisfaction. Duties and ResponsibilitiesAnswer telephone calls in a timely and politely manner, preferably within three rings.Make follow up calls regarding PCP appointments.Ensure that reminder calls are made.Assist with new PCP appointments if needed.Call patients regarding missed appointments in order to improve services and customer experience.Produce No Shows Report and submit to the Director of Patient Services which will be provided to upper management.Make welcome call to inquire about the level of satisfaction with CMG's services and current health plan.Assist in anything patients require – from checking enrollment status to making PCP appointments.Help clear any lack of information or follow up by the Broker.Ensure that a tour of the center was given at the time of enrollment.Produce Daily Reports regarding the progress of the call sessions.Check of status of PCP appointment.Key ResponsibilitiesDeliver high-touch, white-glove customer service to patients and seniors with patience, empathy, and professionalismManage 70–100+ inbound patient calls daily while maintaining quality and efficiencyNavigate multiple systems simultaneously, including EHR platforms, scheduling systems, insurance verification tools, and telehealth applicationsVerify and update patient demographics, insurance information, and medical records accuratelySchedule appointments, coordinate follow-up care, and assist patients with healthcare navigationCommunicate important patient updates and concerns to providers and clinical teams promptlyMaintain detailed and accurate documentation while ensuring HIPAA compliance at all timesResolve patient concerns with compassion and a solutions-oriented approachCreate a positive and supportive experience for every patient interactionPatient Services Agent / Patient Service Representative Qualifications Education/Experience:Must have High school diploma or equivalent.Prior experience in customer service and/or clinical setting.MS Office programs experience.Bilingual in English & SpanishSkills:Use relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines and standard accepted practicesUse logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.Ability to work with individuals within and outside the organization, in professional and courteous manner.Must develop constructive and cooperative working relationships with others.Understand written sentences and paragraphs in work related documents.Strong ability to use independent judgment and initiative.Organized and able to manage competing priorities.Resourcefulness in problem solving.Actively look for ways to help people.Strong written and verbal communications skills.Knowledge of medical terminology.Must be extremely detail oriented.Strong organizational and interpersonal skills.Knowledge of EHR preferred.Bilingual skills (English/Spanish).Must develop constructive and cooperative working relationships with others.What We're Looking ForStrong customer service and communication skillsAbility to multitask and remain organized in a high-volume call center environmentExperience working with seniors, Medicare patients, healthcare, or customer support preferredComfortable navigating multiple systems and technology platforms in real timeDetail-oriented with strong problem-solving abilitiesPassion for helping others and delivering exceptional patient care experiencesNature of WorkJob duties are routine in nature, but situations may very occasionally; policy and procedure provide direction for solving non-routine situations.Job duties involve routine interaction with others. Contacts are generally non-confrontational.May be required to perform the duties of other employees, including supervisors/managers, in their absence.May be required to perform duties and responsibilities not listed in this description, on a temporary or long-term basis.Working Conditions Performs work in a fast-paced office environment. Patient Services Agent / Patient Service Representative Benefits & Perks17 PTO Days11 Paid Holidays + 1 Floating HolidayMedical, Dental & Vision Insurance through UnitedHealthcare401(k) with Employer MatchCompany-Paid Life InsuranceCareer growth and professional development opportunitiesCompensation / Pay Rate (Up to): $18.00 - $18.00 Per Hour