Patient Care Specialist I

Key Responsibilities

• Patient Registration & Check-In
• Greeting, registering, and verifying demographic, insurance, consent, and contact information
• Collecting and processing copayments following standard cash-handling procedures
• Verifying insurance eligibility, obtaining authorizations, and documenting results accurately
• Providing clear explanations of check-in steps, insurance requirements, and payment expectations
• Scheduling & Communication
• Answering and routing phone calls with professional customer service
• Scheduling and rescheduling appointments
• Maintaining daily schedules and communicating changes to clinical staff
• Processing urgent specialist referrals, appointment ticklers, and medical record release requests
• Administrative & Clerical Support
• Filing, faxing, scanning, and uploading documents into the EHR
• Reviewing patient accounts for outstanding balances or documentation errors and partnering with billing to resolve issues
• Preparing, routing, and managing medical documentation to ensure accuracy and confidentiality
• Compliance & Privacy
• Maintaining full HIPAA compliance and safeguarding patient information
• Identifying and reporting potential privacy breaches, compliance risks, or billing concerns
• Auditing charts, registration data, and referral documentation to correct compliance issues
• Operational Support
• Coeordinating scheduling across multiple providers or departments to support efficient patient flow
• Supporting the Practice Manager and care team with assigned administrative tasks
• Participating in workflow redesign initiatives, departmental audits, and implementation of new systems
• Preparing and distributing operational reports related to scheduling, registration accuracy, or service metrics
• Demonstrate Excellent Guest Service & Composure
• Demonstrate excellent guest service and maintain composure during high-volume or challenging situations

Qualifications

• High school diploma or equivalent
• Minimum 1 year of front-office experience, preferably in a healthcare setting
• Excellent customer service skills required
• Ability to multitask in a fast-paced environment
• Familiarity with EHR systems; Athena experience a plus
• Understanding of HIPAA and privacy standards