Children's National Medical Center
Patient Access Representative
Children's National Medical Center, Washington, District of Columbia, us, 20022
Patient Access Representative
This position reports to the Patient Access Supervisor or Manager and provides patient services and administrative support in ancillary operations, interacting with parents, patients, physicians, and other staff in a courteous manner. The representative assists patients with scheduling, patient access and ancillary services, completing registration screens, verifying insurance eligibility, collecting payments, and maintaining accurate patient records.
Qualifications Minimum Education:
High School Diploma or GED (Required).
Minimum Work Experience:
2 years related experience (Required).
Required Skills/Knowledge:
Broad knowledge of administrative processes and customer-service skills; computer proficiency, Microsoft Office (Word & Excel); ability to type at least 35 words per minute; completion of Patient Access training and passing all competency assessments.
Functional Accountabilities Patient Services
Accurately schedule patients using the applicable scheduling system and verify charge codes with diagnostic codes.
Enter information into billing/registration system.
Complete online and in-person registration screens with parents/guardians, providing a professional and courteous experience.
Collect accurate demographic and insurance information, updating systems as needed; complete bedside registration for ED patients.
Reschedule appointments for no-shows or cancellations and schedule follow-up appointments at checkout when applicable.
Greet patients and parents courteously and process arrival in the appropriate system.
Obtain required consents and distribute compliance materials; obtain insurance card and photo ID for records; send copies to the appropriate departments.
Respond to patient portal work lists, fax queues, and email requests.
Information Verification
Verify insurance eligibility and ensure adherence to managed care carve-outs.
Notify leadership of authorization issues at check‑in and coordinate with provider offices or scheduling coordinators to resolve without delaying care.
Inform parents of required insurance referral or pre‑authorization before scheduled appointments.
Discuss co‑payment, deposits, or past‑due balance collections with parents courteously.
Refer parents to the Financial Information Center for payment schedules or methods.
Verify insurance information is complete before procedures and aim to obtain authorizations 5 days in advance.
Ensure patient information systems (EPRS, SCI, Cerner, IDX, McKesson) are synchronized.
Cash Collection
Collect and record co‑payments, deposits, and full payments, providing receipts.
Support the department in meeting an 85% collection target.
Maintain departmental cash control and collection requirements.
Billing Preparation
Ensure all orders/scripts/referrals for ancillary services are obtained before rendering services.
Appropriately clear walk‑ins and link appointments to the scheduling system.
Conduct a daily quality review of real‑time registration.
Office Support
Answer telephone calls and address caller needs; avoid unnecessary transfers.
Manage voicemail within the same business day.
Distribute mail and process returned mail as needed.
Respond to work e‑mail at least three times daily within 24 hours.
Maintain office files, supplies, a clean reception area, and workspace.
Provide additional support as required.
Organizational Accountabilities Organizational Commitment / Identification
Anticipate and respond to customer needs; follow up until needs are met.
Teamwork / Communication
Demonstrate collaborative and respectful behavior.
Partner with all team members to achieve goals.
Receptive to others’ ideas and opinions.
Performance Improvement / Problem‑solving
Contribute to a positive work environment.
Demonstrate flexibility and willingness to change.
Identify opportunities to improve clinical and administrative processes.
Make appropriate decisions using sound judgment.
Cost Management / Financial Responsibility
Use resources efficiently.
Search for less costly ways of doing things.
Safety
Speak up when unsafe behavior or performance is observed.
Continuously validate and verify necessary information for decision‑making or documentation.
Take time to resolve uncertainty.
Demonstrate accurate, clear and timely verbal and written communication.
Actively promote safety for patients, families, visitors, and co‑workers.
Attend carefully to important details, practicing Stop, Think, Act and Review.
Location & Shift Primary Location: District of Columbia - Washington.
Work Location: CN Hospital (Main Campus), 111 Michigan Avenue NW, Washington, 20010.
Job Category: Administrative Support / Customer Service.
Organization: Finance. Position Status: Regular Full-Time. Shift: Evening (3:00 pm – 11:30 pm).
Full‑Time Salary Range 43,160 – 85,259.2
Children's 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 characteristics protected by law. The “Know Your Rights” poster is available here, and the pay transparency policy is available here: Know Your Rights Pay Transparency Nondiscrimination Poster.
Please note that it is the policy of Children's National Hospital to ensure a “drug‑free” work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances by all staff. Though recreational and medical marijuana are now legal in the District of Columbia, Children's National and its affiliates maintain the right, in accordance with our policy, to enforce a drug‑free workplace, including prohibiting recreational or prescribed marijuana.
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Qualifications Minimum Education:
High School Diploma or GED (Required).
Minimum Work Experience:
2 years related experience (Required).
Required Skills/Knowledge:
Broad knowledge of administrative processes and customer-service skills; computer proficiency, Microsoft Office (Word & Excel); ability to type at least 35 words per minute; completion of Patient Access training and passing all competency assessments.
Functional Accountabilities Patient Services
Accurately schedule patients using the applicable scheduling system and verify charge codes with diagnostic codes.
Enter information into billing/registration system.
Complete online and in-person registration screens with parents/guardians, providing a professional and courteous experience.
Collect accurate demographic and insurance information, updating systems as needed; complete bedside registration for ED patients.
Reschedule appointments for no-shows or cancellations and schedule follow-up appointments at checkout when applicable.
Greet patients and parents courteously and process arrival in the appropriate system.
Obtain required consents and distribute compliance materials; obtain insurance card and photo ID for records; send copies to the appropriate departments.
Respond to patient portal work lists, fax queues, and email requests.
Information Verification
Verify insurance eligibility and ensure adherence to managed care carve-outs.
Notify leadership of authorization issues at check‑in and coordinate with provider offices or scheduling coordinators to resolve without delaying care.
Inform parents of required insurance referral or pre‑authorization before scheduled appointments.
Discuss co‑payment, deposits, or past‑due balance collections with parents courteously.
Refer parents to the Financial Information Center for payment schedules or methods.
Verify insurance information is complete before procedures and aim to obtain authorizations 5 days in advance.
Ensure patient information systems (EPRS, SCI, Cerner, IDX, McKesson) are synchronized.
Cash Collection
Collect and record co‑payments, deposits, and full payments, providing receipts.
Support the department in meeting an 85% collection target.
Maintain departmental cash control and collection requirements.
Billing Preparation
Ensure all orders/scripts/referrals for ancillary services are obtained before rendering services.
Appropriately clear walk‑ins and link appointments to the scheduling system.
Conduct a daily quality review of real‑time registration.
Office Support
Answer telephone calls and address caller needs; avoid unnecessary transfers.
Manage voicemail within the same business day.
Distribute mail and process returned mail as needed.
Respond to work e‑mail at least three times daily within 24 hours.
Maintain office files, supplies, a clean reception area, and workspace.
Provide additional support as required.
Organizational Accountabilities Organizational Commitment / Identification
Anticipate and respond to customer needs; follow up until needs are met.
Teamwork / Communication
Demonstrate collaborative and respectful behavior.
Partner with all team members to achieve goals.
Receptive to others’ ideas and opinions.
Performance Improvement / Problem‑solving
Contribute to a positive work environment.
Demonstrate flexibility and willingness to change.
Identify opportunities to improve clinical and administrative processes.
Make appropriate decisions using sound judgment.
Cost Management / Financial Responsibility
Use resources efficiently.
Search for less costly ways of doing things.
Safety
Speak up when unsafe behavior or performance is observed.
Continuously validate and verify necessary information for decision‑making or documentation.
Take time to resolve uncertainty.
Demonstrate accurate, clear and timely verbal and written communication.
Actively promote safety for patients, families, visitors, and co‑workers.
Attend carefully to important details, practicing Stop, Think, Act and Review.
Location & Shift Primary Location: District of Columbia - Washington.
Work Location: CN Hospital (Main Campus), 111 Michigan Avenue NW, Washington, 20010.
Job Category: Administrative Support / Customer Service.
Organization: Finance. Position Status: Regular Full-Time. Shift: Evening (3:00 pm – 11:30 pm).
Full‑Time Salary Range 43,160 – 85,259.2
Children's 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 characteristics protected by law. The “Know Your Rights” poster is available here, and the pay transparency policy is available here: Know Your Rights Pay Transparency Nondiscrimination Poster.
Please note that it is the policy of Children's National Hospital to ensure a “drug‑free” work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances by all staff. Though recreational and medical marijuana are now legal in the District of Columbia, Children's National and its affiliates maintain the right, in accordance with our policy, to enforce a drug‑free workplace, including prohibiting recreational or prescribed marijuana.
#J-18808-Ljbffr