Children's National Hospital
Clinic Operations Representative - Primary Care Shepherd Park
Children's National Hospital, Washington, District of Columbia, us, 20022
Clinic Operations Representative - Primary Care Shepherd Park
Apply for the
Clinic Operations Representative - Primary Care Shepherd Park
role at
Children's National Hospital .
Position Overview The Clinic Operations Representative reports to the Clinic Operations Supervisor or Clinic Operations/Practice Manager. Responsibilities include providing patient services and administrative support in clinic operations, interacting with parents, patients, physicians, and staff in a courteous manner, and assisting employees within their department and other departments. The role may involve collecting and verifying demographic information, notifying patients of scheduled services, scheduling patients for specialty appointments, and floating to other clinics or ROCs for coverage. The next step in the career ladder is Senior Clinic Operations Rep or Team Lead.
Base pay range:
$43,160.00 per year – $85,259.20 per year.
Location and Schedule Primary Care Shepherd Park (7125 13th Place NW Washington, DC 20012). Hours: Mon – Thu 8:00 am – 8:30 pm, Fri 8:00 am – 5:00 pm, every 3rd Saturday 8:00 am – 5:00 pm.
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 and Knowledge Broad clinic knowledge, customer service skills, and computer proficiency are required. Experience with Microsoft Office (Word & Excel) is preferred. Complete Ambulatory Services training curriculum and pass all competency assessments, including a mock clinic. Typing speed of at least 35 words per minute is required.
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 for registration accuracy.
Reschedule appointments for no‑shows or for ancillary service cancellations by providers/technologists. Schedule follow‑up appointments at checkout if applicable.
Greet patients and parents courteously. Arrange patient arrival in the appropriate system based on department policy.
Obtain required consents for the department & ensure distribution of compliance‑related materials (HIPAA Privacy Notice, Patient Rights).
Obtain copy of insurance card and photo ID to store in medical record (copy or scan activity required). Ensure applicable 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 (e.g., appointment requests, fax queues, email requests, etc.). May include messaging center work lists in the future.
Information Verification
Verify insurance eligibility using the 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 a 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 (EPRS, SCI, Cerner, IDX, McKesson, etc.) to verify that systems are in sync.
Cash Collection
Collect and record co‑payments, deposits and payments in full and provide payer with receipt. Responsible for helping department meet 85% of the collection target for the department.
Maintain departmental requirements regarding cash controls and collections.
Billing Preparation
Reconcile schedules for upcoming clinic session to include ensuring that 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‑ins 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 voicemail messages 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 office supplies at PAR levels.
Maintain clean reception area and workspace.
Other support as needed.
Safety
Speak up when team members appear to 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 coworkers.
Attend carefully to important details—practicing Stop, Think, Act and Review to self‑check behavior and performance.
Primary Location District of Columbia – Washington
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Clinic Operations Representative - Primary Care Shepherd Park
role at
Children's National Hospital .
Position Overview The Clinic Operations Representative reports to the Clinic Operations Supervisor or Clinic Operations/Practice Manager. Responsibilities include providing patient services and administrative support in clinic operations, interacting with parents, patients, physicians, and staff in a courteous manner, and assisting employees within their department and other departments. The role may involve collecting and verifying demographic information, notifying patients of scheduled services, scheduling patients for specialty appointments, and floating to other clinics or ROCs for coverage. The next step in the career ladder is Senior Clinic Operations Rep or Team Lead.
Base pay range:
$43,160.00 per year – $85,259.20 per year.
Location and Schedule Primary Care Shepherd Park (7125 13th Place NW Washington, DC 20012). Hours: Mon – Thu 8:00 am – 8:30 pm, Fri 8:00 am – 5:00 pm, every 3rd Saturday 8:00 am – 5:00 pm.
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 and Knowledge Broad clinic knowledge, customer service skills, and computer proficiency are required. Experience with Microsoft Office (Word & Excel) is preferred. Complete Ambulatory Services training curriculum and pass all competency assessments, including a mock clinic. Typing speed of at least 35 words per minute is required.
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 for registration accuracy.
Reschedule appointments for no‑shows or for ancillary service cancellations by providers/technologists. Schedule follow‑up appointments at checkout if applicable.
Greet patients and parents courteously. Arrange patient arrival in the appropriate system based on department policy.
Obtain required consents for the department & ensure distribution of compliance‑related materials (HIPAA Privacy Notice, Patient Rights).
Obtain copy of insurance card and photo ID to store in medical record (copy or scan activity required). Ensure applicable 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 (e.g., appointment requests, fax queues, email requests, etc.). May include messaging center work lists in the future.
Information Verification
Verify insurance eligibility using the 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 a 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 (EPRS, SCI, Cerner, IDX, McKesson, etc.) to verify that systems are in sync.
Cash Collection
Collect and record co‑payments, deposits and payments in full and provide payer with receipt. Responsible for helping department meet 85% of the collection target for the department.
Maintain departmental requirements regarding cash controls and collections.
Billing Preparation
Reconcile schedules for upcoming clinic session to include ensuring that 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‑ins 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 voicemail messages 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 office supplies at PAR levels.
Maintain clean reception area and workspace.
Other support as needed.
Safety
Speak up when team members appear to 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 coworkers.
Attend carefully to important details—practicing Stop, Think, Act and Review to self‑check behavior and performance.
Primary Location District of Columbia – Washington
#J-18808-Ljbffr