Clinic Operations Representative - PRN Main Campus/DC Offices Hub (Mon-Fri, Day shift)

About the role

This position reports to the Clinic Operations Supervisor or Clinic Operations/Practice Manager. Provide patient services and administrative support in clinic operations. Interacts with parents, patients, physicians and other staff under moderate supervision in a courteous manner. Provide assistance to other employees within their department as well as other departments.

Responsibilities

• Demonstrate accuracy of scheduling patients using the applicable scheduling system for the department.
• Complete computer aided, on-line registration screen with parent/guardian via telephone or in person in professional & courteous manner.
• Collect accurate demographic and insurance information. Update systems as needed in accordance with department standards for registration accuracy.
• Reschedule appointments for patients who did not show or for the ancillary services cancellations by providers/technologist.
• Schedule follow-up appointments at check out if applicable.
• Greet patients and parents courteously. Arrive patient in appropriate system based on department policy.
• Obtain required consents for department & ensure distribution of compliance related materials (i.e. HIPPA Privacy Notice, Patient Rights).
• Obtain copy of insurance card and photo ID to be stored in medical record (copy or scan activity required).
• Ensure applicable insurance company and CNMC HIM department receive copies of appropriate forms/documentation.
• Complete all documentation in accordance with department policy and procedure.
• Respond to patient portal work lists (i.e. appointment requests, fax queues, email requests, etc. May include messaging center work lists in the future).
• Verify insurance eligibility using applicable eligibility system.
• Notify parents of the need for completed insurance referral form or pre-authorization prior to scheduled/unscheduled appointments.
• Counsel parents or refer parents to Financial Information Center (FIC) for establishing payment schedule or method of payment.
• Verify insurance information is complete prior to procedure and collect and verify pre-authorization/referral information: goal is to obtain authorizations 5 days in advance of service.
• Utilize all systems where patient information may be stored (EPRS, SCI, Cerner, IDX, McKesson, etc.) to verify that systems are in sync.
• Cash Collection:
• Collect and record co-payments, deposits and payments in full and provide payer with receipt.
• Responsible for helping department meet 85% of the collection target for the department.
• Maintain departmental requirements regarding cash controls and collections.
• Billing Preparation:
• Reconcile schedules for upcoming clinic session to include ensuring that accounts are set up for billing and services requiring authorization are flagged: Activity should be completed 3-4 days in advance of clinic session; Areas with procedures requiring authorizations work standard may be 5-7 days.
• Appropriately clear all walk-in and ensure scheduled/unscheduled appointments are linked to scheduling system.
• Office Support:
• Answer telephone and address caller needs appropriately.
• Avoid transferring calls for better service to families.
• Meet department standards relative to ACD policies if applicable.
• Manage voice mail messages within same business day.
• Distribute mail. May work returned mail as needed.
• All staff are responsible for information distributed via e-mail. Staff should check work emails a minimum of 3 times daily and respond to inquiries within 24 hours (or next business day).
• Maintain office files and office supplies at PAR levels.
• Maintain clean reception area and workspace.
• Other support as needed.

Requirements

• Minimum Education: High School Diploma or GED.
• Minimum Work Experience: 1 year Experience performing billing, patient registration, and scheduling, medical insurance verification, insurance screening.

Qualifications

• Broad clinic knowledge, customer service skills.
• Computer knowledge necessary.
• Microsoft Office experience preferred (Word & Excel).
• Complete Ambulatory Services training curriculum and pass all competency assessments, including a mock clinic.
• The ability to type minimum of 35 words per minute required.

Skills

• Broad clinic knowledge.
• Customer service skills.
• Computer knowledge.
• Microsoft Office experience.
• Complete Ambulatory Services training curriculum.
• The ability to type minimum of 35 words per minute.

Benefits

Comprehensive health coverage, including medical, prescription, infertility, and transgender health services. Generous paid time off, including vacation accrual from day one, sick leave, holidays, and a personal day. Financial wellness support, including a 401(k) plan and healthcare and dependent care spending accounts. Employer-paid life, AD&D, and long-term disability coverage, with optional supplemental plans. Additional perks, including tuition assistance, fitness resources, employee assistance, commuter benefits, and more.

Pay

The disclosed salary range includes the minimum and maximum rates within which Children's National believes an individual’s base pay rate will fall for this position. It is not typical for an individual to be hired at or near the maximum of the pay range. The exact pay rate for this position will be based on a variety of factors in alignment with the Children's National compensation philosophy.

Schedule

Children's National Hospital is committed to providing a fair and competitive total rewards package to each of our employees. This base salary range does not include our comprehensive benefits package or any additional compensation for which this position may be eligible.