Patient Services Representative - UMG Primary Care

Job Detail

• Job Title:

  Patient Services Representative - UMG Primary Care

• Department:

  70000-UMG-IMA East Hartford

• Location:

• FTE%:

  1

• Shift

  1st

• Search #:

  2027-185

• Closing Date:

  07/28/2026

• Recruiter:

  Alexander, Donna

Additional Links:

• This position is Benefit eligible; click here for an overview of available benefits.
• This position is covered by the UHP Bargaining Unit; click here to review the current UHP Contract.
• This position is in salary group UHP-03; click here to review the current UHP Pay Plan

Excellence, Teamwork, Leadership, and Innovation. These values define UConn Health. We are looking for team members that share these same values. Our top-rated organization is looking to add a Patient Services Representative to our growing University Medical Group team. If you have a background in this field, we want to hear from you.

At UConn Health, this class is accountable for performing a full range of tasks in submitting authorization requests for primary care patients requiring radiologic services, specialty services, and/or pharmaceutical services, as well as navigating insurance claims and insurance denials, facilitating peer to peer reviews, and acting as a resource for patients with questions regarding medical billing.

REMOTE WORK IS AVAILABLE TWO (2) DAYS PER WEEK AFTER SUCCESSFUL COMPLETION OF A WORKING TEST PERIOD AND BASED UPON OPERATIONAL NEEDS AND MANAGEMENTS DISCRETION.

SUPERVISION RECEIVED:

Works under the general supervision of an employee of a higher grade.

SUPERVISION EXERCISED:

May lead/supervise lower-level employees as assigned.

EXAMPLES OF DUTIES:

Produces accurate and timely billing of patients in accordance with pre-established schedules.

Completes insurance, disability, and compensation forms.

Interviews patients; counsels patients on billing procedures, compensation claims/disability claims.

Requests prior authorization for hospital care/payment.

Answers patient and insurance inquiries.

Researches requests for patient information and prepares reports and correspondence.

Maintains records and files.

Reviews vouchers and monitors fees.

Collects fees for services and may make deposits.

Keeps records/files; performs financial counseling duties such as, but not limited to, interviewing patient via visits or phone to determine payment sources and payment arrangements.

Provides relevant insurance/financial information to Social Services and home care institutions.

Acts as liaison between the patient/family and government agencies.

May perform receptionist/triage duties.

Performs related duties as required.

MINIMUM QUALIFICATIONS REQUIRED

KNOWLEDGE, SKILL, AND ABILITY:

Knowledge of, and ability to interpret health center/Medicare/insurance billing procedures; knowledge of Federal, State and other patient financial assistance health programs; knowledge of the principles and techniques of interviewing; some knowledge of medical/dental terminology; knowledge of general office procedures; considerable interpersonal skills; oral and written communication skills; organizational skills; computer skills; basic negotiation skills; record keeping ability; ability to interpret basic Medicare/Medicaid, and commercial insurance industry regulations.

EDUCATION AND TRAINING:

General Experience:

Three (3) years of hospital/medical billing and/or insurance claims experience.

SUBSTITUTIONS ALLOWED:

Associates degree may substitute for two (2) years of general experience.

PREFERRED QUALIFICATIONS:

Customer service experience (direct communication over the phone or in-person).

Experience in completing prior authorizations for medications, referrals, procedures, medical equipment, or other services in an outpatient office setting.

Experience involving direct communication with health insurers on a daily basis.

SCHEDULE: Full-time, Monday-Friday, 8 hours per day, Monday-Friday, 8:00 am to 5:00 pm, one (1) hour unpaid meal break, primary location for this position is negotiable upon hire; options include Simsbury, Farmington, Torrington, and East Hartford.

Why UConn Health

UConn Health is a vibrant, integrated academic medical center that is entering an era of unprecedented growth in all three areas of its mission: academics, research, and clinical care. A commitment to human health and well-being has been of utmost importance to UConn Health since the founding of the University of Connecticut schools of Medicine and Dental Medicine in 1961. Based on a strong foundation of groundbreaking research, first-rate education, and quality clinical care, we have expanded our medical missions over the decades. In just over 50 years, UConn Health has evolved to encompass more research endeavors, to provide more ways to access our superior care, and to innovate both practical medicine and our methods of educating the practitioners of tomorrow.