Patient Care Service Representative II La Jolla

Modena Health; California (MO); Hybrid; USD 37,195 - 44,083; Full time

Benefits offered by this job

Medical, dental & vision insurance

401(k) retirement plan with employer matching

Paid time off (PTO) and sick time

Job summary

Modena Health is seeking a highly skilled and compassionate Patient Care Services Representative II for a hybrid role combining front office duties and clinical support. This full-time position is based in La Jolla, California.

The ideal candidate will have experience in a medical office, be customer service-oriented, and be adaptable to a dynamic environment. Compensation ranges from $27.00 to $32.00 per hour. Join us in transforming allergy care!

Qualifications

• 3+ years of experience in a front desk, medical receptionist, or Medical Assistant role.
• Experience in insurance verification is preferred.
• Certified Medical Assistant in California is required for clinical duties.

Responsibilities

• Greet patients and manage check-in/check-out processes.
• Schedule patient appointments and manage prior authorizations.
• Perform diagnostic procedures if MA certified.

Skills

Interpersonal skills

Customer service

Multitasking

Knowledge of medical terminology

Education

High school diploma or equivalent

Tools

Electronic health records (EHR)

Job description

Modena Health ("MH") and Modena Allergy & Asthma ("MAA") are leading and rapidly growing medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona—and ambitious plans for national expansion. We are physician‑led, hospitality‑focused, and technology‑enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting‑edge medicine.

Known for our high standard of excellence, we provide compassionate, patient‑centered care for both pediatric and adult patients. Our model combines hospitality‑driven service with innovative technology solutions that streamline operations, improve clinical outcomes, and enhance the experience for both patients and providers.

At Modena, we aim to hire great people, treat them well, and help them find meaning and purpose in our mission. Our dedicated team values collaboration, positivity, and growth while striving to improve lives through expert diagnosis, treatment, and research.

Position Summary

We are seeking a highly skilled and compassionate Patient Care Services Representative II to join our team in a hybrid Medical Assistant (MA) and Patient Services Representative (PSR) role. This unique position blends front office administrative duties with back office clinical support, ideal for someone who thrives in a dynamic and patient‑centered environment. This role is non‑exempt (hourly) and full‑time, working 40 hours per week, Monday through Friday.

This role will be based in La Jolla. The ideal candidate is adaptable and enjoys collaborating across multiple sites to ensure seamless operations and excellent patient experiences.

Key Responsibilities

• Front Office & Administrative Duties:
  • Greet patients and visitors warmly and professionally.
  • Manage check‑in and check‑out processes, verify insurance, and collect co‑pays.
  • Schedule patient appointments, testing, and follow‑ups in collaboration with providers.
  • Submit and track prior authorizations, including verifying insurance and submitting required documentation.
  • Answer incoming calls and respond to patient inquiries with courtesy and accuracy.
  • Maintain up‑to‑date, HIPAA‑compliant records in the electronic health record (EHR) system.
  • Ensure the front office area remains clean, organized, and well‑stocked with necessary forms and supplies.
  • Assist with emergency response protocols by alerting clinical staff as needed.
  • Contribute to the onboarding and training of new team members to build support and cross‑functional skills.
• Clinical & Patient Care Duties (if MA certified):
  • Perform diagnostic procedures such as allergy skin testing, pulmonary function tests (PFTs), and FeNO testing.
  • Administer allergy and immunotherapy injections following clinical safety protocols.
  • Prepare and maintain allergy serum and oral desensitization vials.
  • Monitor and document patient vitals and treatment responses.
  • Support physicians and advanced practice providers during clinical consultations and procedures.
  • Educate patients and families on allergy and asthma care plans and treatment options.
  • Respond to and manage allergic reactions, including emergency interventions when needed.
  • Escort patients to exam rooms and prepare for provider exams.
  • Assist in preparing asthma action plans, Epinephrine training, and discharge instructions.
  • Maintain clean and stocked exam rooms; log refrigerator temperatures and sterilize instruments per protocols.
  • Assist with clinical prior authorizations under the direction of a supervisor.
  • Additional responsibilities as assigned.

Qualifications & Requirements

• Education: High school diploma or equivalent required.
• Experience: 3+ years of experience in a front desk, medical receptionist, or Medical Assistant (MA) role.
• Experience with insurance verification, scheduling, and electronic health records preferred.
• Licensure & Certifications:
  • Certified or Licensed Medical Assistant (California), if performing clinical duties.
  • CPR certification (or willingness to obtain upon hire).
• Skills & Abilities:
  • Strong interpersonal, customer service, and communication skills.
  • Excellent organizational and multitasking ability in a clinical setting.
  • Knowledge of medical terminology and EHR systems.
  • Familiarity with HIPAA and OSHA compliance standards.
  • Ability to remain composed in fast‑paced and emergency situations.
  • Commitment to patient confidentiality and high‑quality service delivery.
• Preferred Qualifications:
  • Prior experience in allergy, immunology, or respiratory care settings.
  • Comfort with performing skin testing and pulmonary diagnostics.
  • Experience submitting and managing insurance prior authorizations.

Compensation

The hourly range for this position is $27.00–32.00/hour. The actual compensation for this role will be determined by a variety of factors, including but not limited to the candidate’s skills, education, and experience.

Physical Requirements

Ability to stand, walk, and move throughout the clinic, if applicable, for extended periods; occasionally lift objects up to 25 lbs., bend, stoop, or reach as needed. Frequent use of hands and fingers for patient care and equipment operation. Must have normal (or corrected) vision and hearing and be able to respond quickly in a fast‑paced clinical environment, if applicable.

What We Offer

• Competitive salary and benefits package, including medical, dental & vision insurance, 401(k) retirement plan with employer matching, and professional development opportunities
  • In addition, we offer paid time off (PTO), sick time, floating holiday and holiday pay
• Opportunity to shape the future of a thriving allergy and asthma practice in beautiful San Diego (and across our expanding network)
• A supportive, mission‑focused culture where your contributions directly impact patient outcomes and team growth

If this role excites you, please submit your resume and a cover letter outlining your relevant experience and why you’re passionate about joining our team. We look forward to hearing from enthusiastic candidates ready to drive our success!

California Consumer Privacy Act (CCPA) Notice Modena Health ("MH") and Modena Allergy & Asthma ("MAA") complies with the California Consumer Privacy Act ("CCPA"). Personal information provided in the job application process will be collected, used, and retained in accordance with applicable privacy laws. Candidates may request additional information regarding the categories of personal information collected and the purposes for which it is used during the hiring process.