Patient Relations Representative

About the role

The Patient Relations Representative acts as a trusted advocate for patients, guiding them through insurance, benefits, and access‑to‑care questions while ensuring a seamless, high‑quality experience throughout their healthcare journey.

Key responsibilities

• Serve as the primary point of contact for patients regarding Medicare, Medicaid, and health plan benefits, eligibility, and coverage options.
• Assist patients with appointment scheduling, referrals, billing issues, and care coordination, removing barriers to treatment adherence.
• Educate patients on public assistance programs, help complete applications and documentation, and advocate for needed services.
• Support patient onboarding, build strong relationships with patients and caregivers, and promote participation in preventative and health‑management programs.
• Collaborate with clinic leadership and interdisciplinary teams to improve workflows, support scheduling coordination, maintain accurate records, and ensure HIPAA‑compliant confidentiality.
• Participate in quality‑improvement initiatives, patient experience meetings, and case reviews to drive satisfaction and retention.
• Engage with community organizations and programs such as SHIP/HICAP to expand resources available to Medicare beneficiaries.

Required profile

• High School Diploma or GED.
• Minimum three years of experience in healthcare operations, patient relations, customer service, or care coordination.
• Experience working with Medicare, Medicaid, or managed‑care populations is preferred.
• Strong communication, interpersonal, and problem‑solving abilities.
• Capacity to manage multiple priorities in a fast‑paced environment while maintaining confidentiality.

Required skills