Senior Clinic Operations Representative - Northern Virginia

About the role

This position reports to the Clinic Operations Manager or Practice Manager. Responsible for ensuring work flow in the clinic. Expected to triage resource issues in clinic and involve supervisor or manager as needed. Aid the department in meeting financial objectives. Provide training and mentoring to other employees within their department as well as other departments. Able to perform all the functions of a COR.

Responsibilities

• Able to open and close schedules as needed.
• 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.
• Collect and record co-payments, deposits and payments in full and provide payer with receipt.
• 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 parent 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.
• Interface with insurance companies as needed; Document activity in “account notes” following standards set by department.
• Utilize all systems where patient information may be stored (EPRS, SCI, Cerner, IDX, McKesson, etc.) to verify that systems are in synch.
• Maintain departmental requirements regarding cash controls and deposits.
• Reconcile daily cash receipts/collections and submit to manager.
• Reconcile charge capture against schedules.
• Ensures that quality registration work queues are addressed timely.
• Work with manager to reduce registration and authorization denials.
• Work with manager to research and resolve missing charges.
• Provide input to manager about registration errors for ongoing training purposes.
• Monitor & correct registration errors.
• Monitor QA reports to identify training needs & ensure standards are met.
• Provide expertise to peers throughout the institution.
• Train & mentor P AR staff (may conduct training sessions).
• Provide work flow guidance.

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

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. These factors are legitimate and non-discriminatory including, but not limited to, the current market conditions; organizational needs; the individual’s combination of prior work experience, level of education, knowledge, skills, and other qualifications.

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. These factors are legitimate and non-discriminatory including, but not limited to, the current market conditions; organizational needs; the individual’s combination of prior work experience, level of education, knowledge, skills, and other qualifications.

Schedule

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. These factors are legitimate and non-discriminatory including, but not limited to, the current market conditions; organizational needs; the individual’s combination of prior work experience, level of education, knowledge, skills, and other qualifications.