- 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. Complete all documentation in accordance with department policy and procedure.
- Respond to patient portal work lists (i.e. 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, 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 (EPRS, SCI, Cerner, IDX, McKesson, etc.) to verify that systems are in sync
- 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.
- 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-in and ensure scheduled/unscheduled appointments are linked to scheduling system.
- 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 voice mail messages within 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 P AR levels.
- Maintain clean reception area and work space.
- Other support as needed.
- 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 takes 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 in order to self-check behavior and performance
- Anticipate and responds to customer needs; follows up until needs are met
- Demonstrate collaborative and respectful behavior
- Partner with all team members to achieve goals
- Receptive to others' ideas and opinions
- 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
- Use resources efficiently
- Search for less costly ways of doing things
- 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 takes 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 in order to self-check behavior and performance
-
Clinic Operations Representative
1 week ago
Children's National Hospital Washington, United States Full timeThis position reports to the Clinic Operations Supervisor or Clinic Operations/Practice Manager. Provide patient services and administrative support in clinic operations. Interacts with parents, patients, physicians and other staff under moderate supervision in a courteous manner ...
-
Clinic Operations Representative- PRN
1 week ago
Children's National Hospital Washington, United StatesThis position reports to the Clinic Operations Supervisor or Clinic Operations/Practice Manager. Provide patient services and administrative support in clinic operations. Interacts with parents, patients, physicians and other staff under moderate supervision in a courteous manner ...
-
Activity Security Representative
6 days ago
General Dynamics Information Technology Washington, United StatesTransform technology into opportunity as a Activity Security Representative (ASR) Ill with GDIT. A career in enterprise IT means connecting and enhancing the systems that matter most. At GDIT you'll be at the forefront of innovation and play a meaningful part in improving how age ...
-
Field Technician
4 days ago
StructureCare® Washington, United StatesGENERAL DESCRIPTION: · The position of Field Technician primarily supports our structural inspection process, working with the engineering team to collect deterioration and defect data in the field. The role will learn to use technology like 360 video walks and electronic tablets ...
-
Vice President, State Government Affairs
2 weeks ago
Global Business Alliance Washington, United StatesThe Global Business Alliance (GBA) is seeking a dynamic, self-motivated professional with at least ten years' worth of state government affairs experience to serve as its Vice President of State Government Affairs. The Vice President will oversee GBA's policy issues and promote a ...
-
Administrative Assistant
2 days ago
Open Systems Healthcare Washington, United StatesPosition Overview: Responsible for assisting in and supporting the day to day operations of Open Systems Healthcare by providing general support to areas including but not limited to; sales, payroll, human resources, recruiting, payroll, marketing, support for the clinical team. ...
-
Administrative Assistant
2 weeks ago
The Ford Agency Washington, United StatesThe Ford Agency is working with a global human rights organization with offices in DC and New York to find an Administrative Assistant to support executives and internal projects, including an office move. This busy team is looking for someone who can liaise between the offices, ...
-
AASHTO (American Association of State Highway and Transportation Officials) Washington, United StatesThe American Association of State Highway and Transportation Officials is currently hiring a Program Manager, Traffic Engineering and Maintenance, a full-time position located in our Washington, DC office. · Nature of Position: · The incumbent for this position will manage a rang ...
-
Payroll Coordinator
3 days ago
Open Systems Healthcare Washington, United StatesPosition Overview: Responsible for compiling and maintaining branch payroll data and records while ensuring Agency compliance with all aspects and levels of Federal, State, and local laws, regulations and standards. · Essential Job Functions: · General Payroll:Prepares, maintains ...
-
HR Specialist
3 weeks ago
EAdvisory Washington, United StatesHello, · About US · EAdvisory is a staffing and consulting firm. We have niche consultants on technologies, Healthcare IT, Life sciences and Government Industries. Our highly specialized consulting services connect top tier talent with cutting-edge opportunities. Currently We are ...
-
Security Control Assessor
3 weeks ago
General Dynamics Information Technology Washington, United StatesThe SCA is responsible for conducting a comprehensive assessment of the management, operational, and technical security controls employed within or inherited by an IS to determine the overall effectiveness of the controls (i.e., the extent to which the controls are implemented co ...
-
Senior Conflicts Director
3 weeks ago
Crowell & Moring Washington, United StatesJob Description · Crowell & Moring LLP is an international law firm with offices in the United States, Europe, MENA, and Asia that represents clients in litigation and arbitration, regulatory and policy, intellectual property, and transactional and corporate matters. The firm is ...
-
Talent Acquisition Associate
4 days ago
The Heritage Foundation Washington, United StatesTitle: Talent Acquisition Associate, People Operations · Reports to: Director, People Operations · Job Summary: The Talent Acquisition Associate is responsible for sourcing, attracting, and interviewing prospective employees to identify the best talent for Heritage. The Talent A ...
-
Activity Security Representative
3 weeks ago
General Dynamics Information Technology Washington, United StatesASR II: · The Activity Security Representative's primary function is to provide multi-disciplined security support to a customer's facility and organization. The position will provide "day-to-day" support for Collateral, Sensitive Compartmented Information (SCI) and Special Acces ...
-
Systems Operations Administrator I
3 weeks ago
Olgoonik Corporation Washington, United StatesOlgoonik is an Equal Opportunity Employer - EEO, including disability/vets · Olgoonik is a strong family of professional contracting companies established to create benefits for our Alaska Native shareholders and fueled by the belief that to do so our operations must remain of th ...
-
Activity Security Representative
1 week ago
General Dynamics Information Technology Washington, United StatesThe Activity Security Representative's primary function is to provide multi-disciplined security support to a customer's facility and organization. The position will provide "day-to-day" support for Collateral, Sensitive Compartmented Information (SCI) and Special Access Program ...
-
External Affairs Manager
4 days ago
Children's Equity Fund Washington, United StatesCEF Internal Job Level: Senior Manager · FLSA Status: Exempt · Supervisory Responsibilities: None · Reporting to Title: Director of Policy · Hiring Salary Range: $115,000 - $125,000 · ABOUT THE ORGANIZATION: · The Children's Equity Fund (CEF) is a 501(c)(4) organization tha ...
-
vtc sme
1 week ago
Tyto Athene, LLC Washington, United StatesTyto Athene is seeking a VTC Subject Matter Expert to support a law enforcement customer in the N.VA area. · Responsibilities: · Develop IDP's by successfully emulating, adapting and replicating current client design rules. The SME, on occasion may be required to produce and/or m ...
-
Chief Program Officer at State Voices
1 week ago
Nonprofit HR Washington, United States· Chief Program Officer at State Voices(Remote role, candidates must reside in the Metro DC area) · State Voices is a pivotal force in the landscape of civic engagement, established in 2008 as a nationwide network dedicated to empowering grassroots organizations to achieve civic ...
-
Intelligence Analyst
2 weeks ago
Bent Ear Solutions LLC Washington, United StatesBent Ear Solutions (BES) is focused on helping public safety organizations deploy, implement, and operationalize emerging technologies in order to help them save lives and protect property. We are looking for versatile, passionate employees who care deeply about the public safety ...
Clinic Operations Representative - Washington, United States - Children's National Health System
Description
This position reports to the Clinic Operations Supervisor or Clinic Operations/Practice Manager. Provide patient services and administrative support in clinic operations. Interacts with parents, patients, physicians and other staff under moderate supervision in a courteous manner. Provide assistance to other employees within their department as well as other departments. Collect and verify all demographic information to ensure accuracy. May provide required notification of scheduled services according to managed care requirements. May be responsible for scheduling patients for specialty appointments. Position may be required to float to other clinics or ROCs for coverage. Next step in career ladder is Senior Clinic Operations Rep or Team Lead position.Minimum Education
High School Diploma or GED (Required)
Minimum Work Experience
1 year experience performing billing, patient registration, and scheduling, medical insurance verification, insurance screening. (Required)
Experience in health care setting. (Preferred)
Required Skills/Knowledge
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.
Functional Accountabilities
Patient Services
Organizational Accountabilities (Staff)
Organizational Commitment/Identification
&v=024){kind=logo}
