Patient Care Representative

Job Summary:
The Patient Care Representative is responsible for providing administrative and clinical support to ensure efficient office operations and high-quality patient care. This role supports both Milford and Framingham locations as needed and serves as a primary point of contact for patients, providers, and insurance carriers. The position requires strong organizational skills, attention to detail, and the ability to manage multiple responsibilities in a fast-paced medical environment.

Duties:

Patient Services

• Answer incoming telephone calls, take messages, and direct calls appropriately
• Schedule patient appointments, procedures, and follow-up visits
• Greet, check in, and check out patients in a professional and courteous manner
• Maintain accurate patient registration and demographic information
• Prepare and manage patient charts for provider visits

Insurance, Referrals, and Authorizations

• Verify patient insurance eligibility and benefits
• Obtain and process referrals as required by insurance plans
• Submit and track prior authorizations for procedures, imaging, and specialty services
• Communicate with insurance carriers to ensure timely authorization approvals
• Document authorization status and follow up on pending requests

Billing and Financial Responsibilities

• Collect copayments, deductibles, and outstanding balances
• Respond to patient inquiries regarding billing and payments
• Collaborate with management regarding billing issues and patient accounts

Administrative Support

• Manage and distribute daily schedules
• Process incoming and outgoing faxes and distribute to appropriate staff
• Handle medical record requests in compliance with regulations
• Maintain organized filing systems (electronic and paper)
• Support operations across both office locations as needed

Clinical Support (as needed)

• Assist with rooming patients and managing patient flow
• Clean and sterilize instruments, including use of autoclave equipment
• Coordinate and schedule radiology services
• Maintain and stock exam rooms and clinical supplies

Compliance and General Responsibilities

• Adhere to HIPAA, confidentiality, and infection control standards
• Communicate effectively with patients, providers, and team members
• Perform additional duties as assigned by physicians or management
• Schedule patient appointments, procedures, and follow-up visits
• Greet, check in, and check out patients in a professional and courteous manner
• Maintain accurate patient registration and demographic information
• Prepare and manage patient charts for provider visits

Requirements:

• High School Diploma or GED required
• Previous experience in a medical office or healthcare setting preferred
• Experience with insurance verification, referrals, and prior authorizations strongly preferred
• Knowledge of medical terminology
• Strong organizational, multitasking, and problem-solving skills
• Excellent communication and interpersonal skills
• Proficiency in basic computer systems and electronic medical records (EMR)
• Ability to work independently and collaboratively within a team
• High level of professionalism, discretion, and integrity

Pay: $18.00 - $24.00 per hour

Work Location: In person

Salary : $18 - $24