Tufts Medicine · 6 hours ago
Patient Service Representative I - Full-Time, Mornings
Boston, MA
Full-time
Onsite
Entry Level
$20.12/hr - $25.15/hr
1+ years expTufts Medicine is a healthcare organization seeking a Patient Service Representative I to support their revenue cycle operations. The role involves collecting patient registration data, verifying insurance, and ensuring financial clearance for clinical services.
Health CareHospitalMedical
Responsibilities
Conducts Pre-Registration tasks for specified inpatients and outpatients prior to their date of service including: collects demographic, financial, and clinical information necessary for financial clearance of scheduled patients; obtains missing insurance information via patient’s family or physician offices; and completes insurance verification using online electronic verification system or contacting payor directly
Obtains consent for treatments and authorizations as necessary. Explains signature requirements to patients and patient’s representatives in a manner that is easily understood by the patient or their representative
Verifies the validity of insurance coverage via eligibility tools. Ensures the appropriate plan codes have been added to registration based on the information provided in the eligibility response. Educated on different insurance plans and coordination of benefits. Able to identify if there are any concerns with coverage after checking insurance eligibility
Collects the appropriate information for auto and worker’s compensation registrations including information collected from the responsible party including the auto or worker’s compensation carrier, agent and/or employer. If full information is not collected, notes are properly documented as to why the information was not collected or available
Notifies patient of financial liabilities as determined by insurance benefits, coverage limits, and appointment/procedure-specific charges
Takes an active role in the collection of patient payments. Understands all collection policies and procedures that pertain to time-of-service collections. Communicates these policies effectively to patients following prescribed scripting. Understands the use of credit card devices regarding payments and credits. Is aware of all types of credit cards accepted by the organization
Posts collected payments in system of record and verify appropriate dollar amount and volume are posted in compliance with department guidelines
Provides Financial Counselor contact information to patients qualifying for state-sponsored financial assistance. Documents patient’s financial state and related information in system of record for reference of hospital administration and billing
Obtains authorization, pre-certification, referral, and/or notification as necessary. Attaches verification to patient’s account and documents information in the system of record for reference of hospital administration and billing
Takes personal responsibility to provide excellent customer service and delivers exceptional professional courtesy to all patients
Interacts with physicians, nursing units, and office staff in a courteous and professional manner
Maintains hospital financial information confidentially in accordance with all hospital policy and any state or federal regulations such as the HIPAA Privacy & Security Standards
Meets the requirements of area specific benchmarks related to productivity and customer service such as wait times, call monitoring score card scores, number of registrations or calls processed, etc
Qualification
Required
High school diploma or equivalent
Strong customer service skills including excellent interpersonal and telephone skills
High degree of tact is necessary due to frequent interaction with patients, physicians, and insurance companies
Computer literacy required including familiarity with word documents, Excel spreadsheets, email applications and be able to learn new applications, including the Organization's Electronic Health Record (EHR). Ability to perform accurate data entry
Thorough understanding of private insurance, Medicare, and Medicaid programs
Knowledge of medical terminology
Excellent organizational skills required with attention to detail. Ability to prioritize work and be flexible with work assignments
Frequent sitting, standing and walking while working, and lifting 10-15 pounds
Must be able to reach supply shelves in the office or supply room and reach printers and copiers
May be exposed to dust and other typical office-like discomforts
Manual dexterity using fine hand manipulations for computer keyboard operation
Requires ability to see computer screen and read reports
Requires ability to hear communications from coworkers, and from physicians and/or other clinical staff
Preferred
One (1) year of experience in customer service setting, hospital registration, medical office, insurance, etc
Experience using computer-based, patient registration systems
Benefits
Comprehensive Total Rewards package that supports your health, financial security, and career growth
Company
Tufts Medicine
Tufts Medicine is a health system offering healthcare services.
10001+ employees
H1B Sponsorship
Tufts Medicine has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2023 (1)
2022 (2)
Funding
Current Stage
Late StageLeadership Team
Michael Dandorph
President and CEO
Andrew DeVoe
Chief Financial Officer
Recent News
2025-08-17
Company data provided by crunchbase