Patient Services & Clinic Operations Associate

Children's National Hospital; United States; On-site; USD 29,000 - 58,000; Full time

Job summary

Children’s National Hospital’s Ophthalmology Clinic is seeking a Clinic Operations Representative to provide patient services and administrative support in a busy clinic setting.

The role includes accurate scheduling, patient registration, and insurance verification, with interactions among families, physicians and staff. A high school diploma and at least one year of related experience are required, with a pay range noted in the listing.

Qualifications

• High School Diploma or GED (Required)
• 1 year experience performing billing, patient registration, scheduling, medical insurance verification, insurance screening (Required)
• 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.

Responsibilities

• Demonstrate accuracy of scheduling patients using the applicable scheduling system for the department.
• Complete computer aided, on-line registration screen with parent/guardian via telephone or in person in professional & courteous manner.
• Collect accurate demographic and insurance information. Update systems as needed in accordance with department standards for registration accuracy.
• Reschedule appointment for patients who did not show or for the ancillary services cancellations by providers/technologist. Schedule follow up appointments at check out if applicable.
• 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.
• Respond to patient portal work lists (i.e. appointment requests, fax queues, email requests, etc. May include messaging center work lists in the future). Information Verification
• Verify insurance eligibility using applicable eligibility system. Ensure managed care carve outs (lab and radiology carve outs) are adhered to.
• Notify parents of the need for completed insurance referral form 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 appointment in a professional & courteous manner.
• 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: goal is to obtain authorizations 5 days in advance of service.
• Utilize all systems where patient information may be stored to verify that systems are in sync Cash Collection

Skills

Broad clinic knowledge

Customer service

Computer skills

Microsoft Word & Excel

Typing 35 wpm

Education

High School Diploma or GED

Tools

Microsoft Office Suite

Job description

Children’s National Hospital’s Ophthalmology Clinic is seeking a Clinic Operations Representative to provide patient services and administrative support in a busy clinic setting.

The role includes accurate scheduling, patient registration, and insurance verification, with interactions among families, physicians and staff. A high school diploma and at least one year of related experience are required, with a pay range noted in the listing.