As the Patient Services Representative I you will work under direct supervision, receive incoming calls and inquires and assist patients in the management of appointments/care. You will provide extraordinary customer service and solid problem solving skills to strengthen the patient/clinician relationship.
Location: Remote- Boston, Massachusetts Team
Department: Internal Medicine Access Center (Remote after 4-6 weeks of training)
Schedule: Monday- Thursday 8:00a- 4:30p and Sunday 7:30a- 4:00p (Supporting Telecom Call Center department on Sunday).
If you are located in Watertown, MA you will have the flexibility to work remotely* as you take on some tough challenges. Candidates are required to live in the state of Massachusetts and commute into the site when training is required or when experiencing internet issues arise.
Primary Responsibilities:
- Screens all incoming patient inquires (through phone, online/medical record message, or other means) to determine whether those inquiries can be appropriately handled by the Patient Service Representative or if they need to be directed to other team members
- Courteous, friendly, problem solver with customer service, patient focused communication
- Resolves issues in areas involving patient satisfaction, patient flow, and compliance with procedures and guidelines. Advocates for patients as appropriate
- Participates in resolving operational difficulties and communicates with supervisor regarding department issues and problems as necessary
- Resolves patient issues and ensures satisfaction. May refer difficult or highly complex phone calls and issues to higher level staff
- Initiates requests for forms, letters, medication renewals, referrals, prior authorizations, and any other administrative needs submitted by patients and answers any corresponding questions. Understands all documents and processes
- Reviews and facilitates the updating of missing /outdated information in the patient record, such as demographics, primary care physician selection, and insurance
- Develops and maintains effective and efficient communication with the patient, interdisciplinary team, department staff, providers, and other agencies
- Reviews department appointment schedules to ensure that clinic utilization is optimized and effectively supports the needs of the clinics as well as the needs of the patients
- Assists with basic data collection activities, ensuring data is properly collected and accurate (e.g. no show reports, telephone statistics)
- Participates in problem solving activities, focusing on productivity and quality. Works with supervisors to ensure continuous improvement of the department
- Participates in special projects and ongoing programs unique to the department
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:
- Electronic medical records (EMR) experience and/or aptitude to master the EMR based on other technology experience
- Computer experience with the ability to use word processing and spreadsheet programs
- Demonstrated technology-literate skill sets
- Demonstrated ability to communicate in a professional and appropriate manner
- Demonstrated solid interpersonal, customer service, time management, and organizational skills
- Demonstrated excellent problem-solving, multi-tasking skills
- Reside within a commutable distance
Preferred Qualifications:
- 1+ years of experience working in a clinical or customer service setting
- Proven working knowledge of patient related documents
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.15 to $28.80 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
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.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Optum Compensation & Benefits Highlights
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Healthcare Strength — Health coverage offers multiple plan types with employer HSA contributions, in‑network preventive care at 100%, and included 24/7 virtual visits, alongside dental and vision options. This breadth allows predictable copay choices or tax‑advantaged HSA designs to fit different usage needs.
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Retirement Support — Retirement programs include a 401(k) with employer match eligibility and full vesting over time plus an Employee Stock Purchase Plan at a discount. Together these elements support long‑term savings and ownership.
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Parental & Family Support — Family supports include six weeks paid parental leave, paid caregiver leave, adoption assistance, and subsidized Bright Horizons back‑up care. Emotional well‑being resources like a premium Calm subscription and a 24/7 EAP complement these supports.
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Optum, part of the UnitedHealth Group family of businesses, is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.
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Employees engage in a combination of remote and on-site work.
Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.