Children's National Medical Center
Clinic Operations Representative - School Based Health Center (PG County)
Children's National Medical Center, Washington, District of Columbia, us, 20022
Overview
This position reports to the Clinic Operations Supervisor or Clinic Operations/Practice Manager. The Clinic Operations Representative provides patient services and administrative support in clinic operations, interacts with parents, patients, physicians and other staff under moderate supervision in a courteous manner, and assists other employees within their department and across departments.
Responsibilities
Demonstrate accurate scheduling of patients using the applicable scheduling system.
Complete registration screens with parents/guardians via telephone or in person in a professional and courteous manner.
Collect accurate demographic and insurance information and update systems as needed.
Reschedule appointments for patients who did not show and schedule follow-up appointments at checkout as applicable.
Greet patients and parents courteously and direct patients to the appropriate system based on department policy.
Obtain required consents and distribute compliance-related materials (e.g., HIPAA Privacy Notice, Patient Rights).
Obtain copies of insurance cards and photo IDs, store them in the medical record, and ensure copies are sent to the correct departments.
Respond to patient portal work lists (appointment requests, fax queues, email requests, etc.).
Verify insurance eligibility using the applicable eligibility system and adhere to managed care carve-outs.
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 balances with parents prior to scheduled appointments in a professional and courteous manner.
Counsel parents or refer them to the Financial Information Center (FIC) for establishing payment schedules or methods of payment.
Verify insurance information is complete prior to procedures and collect and verify pre-authorization/referral information, aiming to obtain authorizations 5 days in advance of service.
Use all systems where patient information may be stored to verify that systems are in sync.
Cash Collection
Collect and record co-payments, deposits, and payments in full, providing receipt to the payer and helping the department meet 85% of the collection target.
Maintain departmental requirements regarding cash controls and collections.
Reconcile schedules for upcoming clinic sessions to ensure accounts are set up for billing and services requiring authorization are flagged. Activities should be completed 3‑4 days in advance of clinic sessions; areas with procedures requiring authorizations may be 5‑7 days in advance.
Appropriately clear all walk-ins and ensure scheduled/unscheduled appointments are linked to the scheduling system.
Office Support
Answer telephone calls and address caller needs appropriately, avoiding unnecessary transfers.
Distribute mail and work returned mail as needed.
Check work email at least three times daily and respond to inquiries within 24 hours (or next business day).
Maintain office files and supplies at required levels.
Maintain a clean reception area and workspace.
Provide other support as needed.
Safety
Speak up when team members exhibit unsafe behavior or performance.
Continuously validate and verify information needed for decision making or documentation.
Stop in the face of uncertainty and take time to resolve the situation.
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 to self‑check behavior and performance.
Location & Schedule Primary location: District of Columbia, Washington. Work location: Shaw Metro, 641 S Street NW, Washington 20001. Shift: Day. Work schedule: Monday – Friday, 8:00 a.m. – 4:30 p.m. Position status: Regular – Full‑Time.
Salary Range Full‑time salary range: $43,160 – $85,259.20.
Qualifications
High School Diploma or GED (required).
Minimum one year of experience performing billing, patient registration, scheduling, medical insurance verification, and insurance screening (required).
Broad clinic knowledge and 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. Ability to type a minimum of 35 words per minute required.
EEO Statement 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 any 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.
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Responsibilities
Demonstrate accurate scheduling of patients using the applicable scheduling system.
Complete registration screens with parents/guardians via telephone or in person in a professional and courteous manner.
Collect accurate demographic and insurance information and update systems as needed.
Reschedule appointments for patients who did not show and schedule follow-up appointments at checkout as applicable.
Greet patients and parents courteously and direct patients to the appropriate system based on department policy.
Obtain required consents and distribute compliance-related materials (e.g., HIPAA Privacy Notice, Patient Rights).
Obtain copies of insurance cards and photo IDs, store them in the medical record, and ensure copies are sent to the correct departments.
Respond to patient portal work lists (appointment requests, fax queues, email requests, etc.).
Verify insurance eligibility using the applicable eligibility system and adhere to managed care carve-outs.
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 balances with parents prior to scheduled appointments in a professional and courteous manner.
Counsel parents or refer them to the Financial Information Center (FIC) for establishing payment schedules or methods of payment.
Verify insurance information is complete prior to procedures and collect and verify pre-authorization/referral information, aiming to obtain authorizations 5 days in advance of service.
Use all systems where patient information may be stored to verify that systems are in sync.
Cash Collection
Collect and record co-payments, deposits, and payments in full, providing receipt to the payer and helping the department meet 85% of the collection target.
Maintain departmental requirements regarding cash controls and collections.
Reconcile schedules for upcoming clinic sessions to ensure accounts are set up for billing and services requiring authorization are flagged. Activities should be completed 3‑4 days in advance of clinic sessions; areas with procedures requiring authorizations may be 5‑7 days in advance.
Appropriately clear all walk-ins and ensure scheduled/unscheduled appointments are linked to the scheduling system.
Office Support
Answer telephone calls and address caller needs appropriately, avoiding unnecessary transfers.
Distribute mail and work returned mail as needed.
Check work email at least three times daily and respond to inquiries within 24 hours (or next business day).
Maintain office files and supplies at required levels.
Maintain a clean reception area and workspace.
Provide other support as needed.
Safety
Speak up when team members exhibit unsafe behavior or performance.
Continuously validate and verify information needed for decision making or documentation.
Stop in the face of uncertainty and take time to resolve the situation.
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 to self‑check behavior and performance.
Location & Schedule Primary location: District of Columbia, Washington. Work location: Shaw Metro, 641 S Street NW, Washington 20001. Shift: Day. Work schedule: Monday – Friday, 8:00 a.m. – 4:30 p.m. Position status: Regular – Full‑Time.
Salary Range Full‑time salary range: $43,160 – $85,259.20.
Qualifications
High School Diploma or GED (required).
Minimum one year of experience performing billing, patient registration, scheduling, medical insurance verification, and insurance screening (required).
Broad clinic knowledge and 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. Ability to type a minimum of 35 words per minute required.
EEO Statement 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 any 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.
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