Children's National Medical Center
Clinic Operations Representative - Pain and Allergy Clinics (DC)
Children's National Medical Center, Washington, District of Columbia, us, 20022
Job Description
Clinic Operations Representative – Pain and Allergy Clinics (DC) (2500039N)
Reports to: Clinic Operations Supervisor or Clinic Operations/Practice Manager.
Key responsibilities include providing patient services and administrative support in clinic operations, interacting with parents, patients, physicians and other staff, collecting and verifying demographic and insurance information, scheduling specialty appointments, and supporting other departments as needed. The role may also float to other clinics or ROCs for coverage. The next career step is Senior Clinic Operations Rep or Team Lead.
Work schedule: 7:45 am – 4:15 pm.
Qualifications
Minimum Education:
High School Diploma or GED (Required)
Minimum Work Experience:
1 year of experience performing billing, patient registration, and scheduling, medical insurance verification, and insurance screening (Required)
Required Skills/Knowledge:
Broad clinic knowledge, customer service skills, computer proficiency, Microsoft Office (Word & Excel) preferred. Must 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 accuracy of scheduling patients using the applicable scheduling system for the department.
Complete computer-aided online registration screen with parent/guardian via telephone or in person in a professional & courteous manner.
Collect accurate demographic and insurance information. Update systems as needed in accordance with department standards.
Reschedule appointments for patients who did not show or for ancillary services cancellations by providers/technologists. Schedule follow-up appointments at checkout if applicable.
Greet patients and parents courteously and arrive patient in appropriate system based on department policy.
Obtain required consents for department and ensure distribution of compliance related 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 appropriate forms/documentation. Complete all documentation in accordance with department policy and procedure.
Respond to patient portal work lists (appointment requests, fax queues, email requests, etc.). May include messaging center work lists in the future.
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, full payment, 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/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 (EPRS, SCI, Cerner, IDX, McKesson, etc.) to verify that systems are in sync.
Cash Collection
Collect and record copayments, deposits, and full payments and provide payer with receipt. Responsible for helping 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. Activity should be completed 3‑4 days in advance of clinic session; areas with procedures requiring authorizations work standard may be 5‑7 days.
Appropriately clear all walk‑in and ensure scheduled/unscheduled appointments are linked to scheduling system.
Office Support
Answer telephone and address caller needs appropriately. Avoid transferring calls for better service to families. Meet department standards relative to ACD policies if applicable. Manage voicemails within the same business day.
Distribute mail. May work returned mail as needed.
All staff are responsible for information distributed via e‑mail. Staff should check work email a minimum of 3 times daily and respond to inquiries within 24 hours (or next business day).
Maintain office files and supplies at PAR levels.
Maintain clean reception area and workspace.
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.
Primary Location District of Columbia – Washington
Work Locations CN Hospital (Main Campus) 111 Michigan Avenue NW, Washington 20010
Job Administrative Support / Customer Service
Organization Ambulatory
Position Status: R (Regular) – FT – Full‑Time
Shift: Day
Work Schedule: 7:45 am – 4:15 pm
Full‑Time Salary Range 43160 – 85259.2
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 (management, employees and contractors). 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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Reports to: Clinic Operations Supervisor or Clinic Operations/Practice Manager.
Key responsibilities include providing patient services and administrative support in clinic operations, interacting with parents, patients, physicians and other staff, collecting and verifying demographic and insurance information, scheduling specialty appointments, and supporting other departments as needed. The role may also float to other clinics or ROCs for coverage. The next career step is Senior Clinic Operations Rep or Team Lead.
Work schedule: 7:45 am – 4:15 pm.
Qualifications
Minimum Education:
High School Diploma or GED (Required)
Minimum Work Experience:
1 year of experience performing billing, patient registration, and scheduling, medical insurance verification, and insurance screening (Required)
Required Skills/Knowledge:
Broad clinic knowledge, customer service skills, computer proficiency, Microsoft Office (Word & Excel) preferred. Must 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 accuracy of scheduling patients using the applicable scheduling system for the department.
Complete computer-aided online registration screen with parent/guardian via telephone or in person in a professional & courteous manner.
Collect accurate demographic and insurance information. Update systems as needed in accordance with department standards.
Reschedule appointments for patients who did not show or for ancillary services cancellations by providers/technologists. Schedule follow-up appointments at checkout if applicable.
Greet patients and parents courteously and arrive patient in appropriate system based on department policy.
Obtain required consents for department and ensure distribution of compliance related 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 appropriate forms/documentation. Complete all documentation in accordance with department policy and procedure.
Respond to patient portal work lists (appointment requests, fax queues, email requests, etc.). May include messaging center work lists in the future.
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, full payment, 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/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 (EPRS, SCI, Cerner, IDX, McKesson, etc.) to verify that systems are in sync.
Cash Collection
Collect and record copayments, deposits, and full payments and provide payer with receipt. Responsible for helping 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. Activity should be completed 3‑4 days in advance of clinic session; areas with procedures requiring authorizations work standard may be 5‑7 days.
Appropriately clear all walk‑in and ensure scheduled/unscheduled appointments are linked to scheduling system.
Office Support
Answer telephone and address caller needs appropriately. Avoid transferring calls for better service to families. Meet department standards relative to ACD policies if applicable. Manage voicemails within the same business day.
Distribute mail. May work returned mail as needed.
All staff are responsible for information distributed via e‑mail. Staff should check work email a minimum of 3 times daily and respond to inquiries within 24 hours (or next business day).
Maintain office files and supplies at PAR levels.
Maintain clean reception area and workspace.
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.
Primary Location District of Columbia – Washington
Work Locations CN Hospital (Main Campus) 111 Michigan Avenue NW, Washington 20010
Job Administrative Support / Customer Service
Organization Ambulatory
Position Status: R (Regular) – FT – Full‑Time
Shift: Day
Work Schedule: 7:45 am – 4:15 pm
Full‑Time Salary Range 43160 – 85259.2
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 (management, employees and contractors). 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