Clinic Operations Representative - PRN, Northern Virginia (Mon - Fri, Day Shift)

Children's National Hospital; McRae (AR); On-site; USD 32,000 - 45,000; Full time

Benefits offered by this job

Comprehensive health coverage

Generous paid time off

401(k) plan and spending accounts

Tuition assistance

Fitness resources

Job summary

Children's National Hospital in McRae, Arkansas, seeks a professional to provide patient services and administrative support. Responsibilities include scheduling, insurance verification, and demographic data collection while interacting courteously with patients and families.

The position requires a High School Diploma or GED and one year of relevant experience. Benefits include comprehensive health coverage, generous paid time off, and a supportive work environment focused on safety and patient care.

Qualifications

• 1 year experience in billing, patient registration, and scheduling required.
• Familiarity with medical insurance verification necessary.
• Ability to interact courteously with patients and parents.

Responsibilities

• Provide patient services in clinic operations.
• Collect and verify demographic information.
• Respond to patient portal work lists.

Skills

Customer service skills

Computer knowledge

Microsoft Office experience

Typing speed of at least 35 words per minute

Education

High School Diploma or GED

Job description

About The Role – Provide patient services and administrative support in clinic operations. Reports to the Clinic Operations Supervisor or Practice Manager. Interacts with parents, patients, physicians, and staff in a courteous manner. Provides assistance to employees within the department and other departments. Collects and verifies all demographic information for accuracy. May provide required notification of scheduled services per managed care requirements, schedule patients for specialty appointments, float to other clinics or ROCs for coverage. Next career step is Senior Clinic Operations Rep or Team Lead.

Coverage: up to 40 hours per week, Monday through Friday. Operating window 7:00 am to 6:00 pm (8.5‑hour shifts). Provides support at the Anne Arundel, Prince George’s and Howard County Clinics.

What You’ll Bring

Minimum Education

• High School Diploma or GED (Required)

Minimum Work Experience

• 1 year experience performing billing, patient registration, scheduling, medical insurance verification, insurance screening (Required)

Required Skills & Knowledge

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. Minimum typing speed of 35 words per minute.

Functional Accountabilities

Patient Services

• Demonstrate accurate scheduling using the applicable scheduling system.
• Complete computer‑aided online registration screen with parent/guardian via telephone or in person courteously.
• Collect accurate demographic and insurance information; update systems as needed.
• Reschedule appointments for patients who did not show or for ancillary services cancellations by providers/technologists. Schedule follow‑up appointments at check‑out when applicable.
• Greet patients and parents courteously. Arrange patient in appropriate system based on department policy.
• Obtain required consents for the department and ensure distribution of compliance materials (HIPAA Privacy Notice, Patient Rights).
• Obtain copy of insurance card and photo ID to be stored in medical record (copy or scan). Ensure appropriate insurance company and CNMC HIM department receive copies of relevant forms/documentation. Complete all documentation per policy.
• Respond to patient portal work lists (appointment requests, fax queues, email requests, etc.).

Information Verification

• Verify insurance eligibility using the applicable system. Ensure managed care carve‑outs are adhered to.
• Notify parents of the need for completed insurance referral forms or pre‑authorization prior to scheduled/unscheduled appointments.
• Discuss co‑payment, deposits, payment in full, or past‑due balance collections with parents prior to scheduled appointments in a professional manner.
• Counsel parents or refer to the Financial Information Center (FIC) for payment schedule or method of payment.
• Verify insurance information is complete prior to procedure and collect pre‑authorization/referral information; goal to obtain authorizations 5 days in advance of service.
• Use all systems (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; provide payer with receipt. Responsible for helping department meet 85% of the collection target.
• Maintain departmental cash controls and collection requirements.

Billing Preparation

• Reconcile schedules for upcoming clinic sessions to ensure accounts are set up for billing and that services requiring authorization are flagged. Complete 3‑4 days in advance of the clinic session; for procedures requiring authorizations, work standard may be 5‑7 days.
• Appropriately clear walk‑in and ensure scheduled/unscheduled appointments are linked to the scheduling system.

Office Support

• Answer telephone calls and address caller needs appropriately; avoid unnecessary transfers.
• Manage voicemail messages within the same business day; meet department standards relative to ACD policies if applicable.
• Distribute mail; collect returned mail as needed.
• Check work emails at least three times daily and respond within 24 hours.
• Maintain office files and supplies at required levels.
• Keep reception area and workspace clean.
• Perform other support duties as needed.

Safety

• Speak up when team members exhibit unsafe behavior or performance.
• Continuously validate and verify information for decision making or documentation.
• Stop when uncertain and take time to resolve the situation.
• Demonstrate accurate, clear, and timely verbal and written communication. Promote safety for patients, families, visitors, and coworkers.
• Practice Stop, Think, Act, and Review to self‑check behavior and performance.

Benefits That Support You

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

Equal Opportunity Employment

Childrens National Hospital is an equal‑opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender identity, or other protected characteristics. The “Know Your Rights” poster and pay transparency policy are available at the links provided.

Drug‑Free Workplace Policy

Children’s National Hospital maintains a strict drug‑free workplace. The organization prohibits the illegal use, possession, or distribution of controlled substances and the misuse of legal substances. Recreational or medical marijuana use is prohibited in the workplace, consistent with applicable laws.