Clinic Operations Representative - PRN (As Needed) -DC-Primary Care Sheperd Park Tech

Children's National Hospital; Washington (District of Columbia); On-site; USD 35,000 - 45,000; Full time

Job summary

A leading healthcare provider in Washington is looking for a Clinic Operations Representative. This position involves providing patient services and administrative support within a clinic setting, ensuring accurate scheduling, registration, and billing while interacting with patients and parents effectively. The ideal candidate should have strong customer service skills, a high school diploma, and relevant experience in the healthcare environment.

Qualifications

• Minimum 1 year experience in billing, patient registration, scheduling, and medical insurance verification.
• Typing speed of at least 35 words per minute.
• Completion of Ambulatory Services training preferred.

Responsibilities

• Assist in patient scheduling and registration.
• Verify insurance eligibility and discuss payment responsibilities.
• Collect co-pays and maintain cash control standards.

Skills

Customer service skills

Computer proficiency

Broad clinic knowledge

Education

High School Diploma or GED

Tools

Microsoft Office (Word & Excel)

Job description

This position reports to the Clinic Operations Supervisor or Clinic Operations/Practice Manager. It provides patient services and administrative support in clinic operations. The role involves interacting with parents, patients, physicians, and staff under moderate supervision in a courteous manner. Responsibilities include assisting other employees within and outside the department, collecting and verifying demographic information, notifying patients of scheduled services according to managed care requirements, scheduling specialty appointments, and floating to other clinics or ROCs as needed. The next career step is toward a Senior Clinic Operations Rep or Team Lead position.

Minimum Education
High School Diploma or GED (Required)

Minimum Work Experience
At least 1 year of experience in billing, patient registration, scheduling, medical insurance verification, and insurance screening (Required)

Required Skills/Knowledge
Broad clinic knowledge, customer service skills, computer proficiency, experience with Microsoft Office (Word & Excel) preferred, completion of Ambulatory Services training, and typing speed of at least 35 words per minute.

Functional Accountabilities

Patient Services

• Accurate scheduling of patients using the department's system.
• Complete registration with parents/guardians courteously via phone or in person.
• Collect and update demographic and insurance data accurately.
• Reschedule no-shows or cancellations; schedule follow-ups at checkout.
• Greet patients courteously and record their arrival per policy.
• Obtain necessary consents and distribute compliance materials.
• Copy or scan insurance cards and IDs; ensure documentation reaches relevant departments.
• Respond to patient portal requests and messages.

Information Verification

• Verify insurance eligibility and adhere to managed care carve-outs.
• Notify parents about referral forms or pre-authorizations needed.
• Discuss payment responsibilities prior to appointments.
• Verify pre-authorizations and insurance info, aiming for 5 days in advance.
• Ensure system synchronization across all patient information systems.

Cash Collection

• Collect and record co-pays and payments, aiming to meet collection targets.
• Maintain cash control standards.

Billing Preparation

• Reconcile schedules and ensure billing setup and authorizations are complete 3-7 days prior to clinics.
• Link appointments to the scheduling system.

Office Support

• Answer calls, manage voicemails, distribute mail, and maintain files and supplies.
• Respond to emails within 24 hours and keep the workspace clean.
• Provide other administrative support as needed.

Safety

• Promote safety, verify information, and communicate clearly and timely.
• Address unsafe behaviors and resolve uncertainties promptly.

Organizational Accountabilities

• Respond to customer needs, collaborate respectfully, contribute to a positive environment, and suggest process improvements.
• Use resources efficiently, promote safety, and communicate effectively.