Clinic Operations Representative - Full Time, Main Campus - Ophthalmology Clinic

Children's National Hospital

7d•$21 - $42•Onsite

About The Position

The Clinic Operations Representative provides patient services and administrative support for the Ophthalmology Clinic, interacting courteously with parents, patients, physicians, and other staff under moderate supervision. The role collects and verifies patient demographic and insurance information, may notify patients about scheduled services under managed-care requirements, and may schedule specialty appointments. The position may require floating to other clinics or ROCs for coverage. It reports to the Clinic Operations Supervisor or Clinic Operations/Practice Manager. The next step in the career ladder is Senior Clinic Operations Representative or Team Lead.

Requirements

High school diploma or GED.
At least 1 year of experience performing billing, patient registration and scheduling, medical insurance verification, and insurance screening.
Broad clinic knowledge and customer service skills.
Computer knowledge.
Ability to type at least 35 words per minute.
Completion of the Ambulatory Services training curriculum and passing all competency assessments, including a mock clinic.

Nice To Haves

Microsoft Office experience, including Word and Excel.

Responsibilities

Schedule patients accurately, complete registration with parents or guardians in person or by telephone, collect and update demographic and insurance information, and arrive patients in the appropriate system.
Reschedule missed or canceled appointments and arrange follow-up appointments at checkout when applicable.
Obtain required consents, distribute compliance-related materials, copy or scan insurance cards and photo IDs, and complete documentation according to department policy.
Respond to patient portal work lists, appointment requests, fax queues, email requests, and other assigned messaging work lists.
Verify insurance eligibility and information, follow managed-care carve-out requirements, and obtain or verify required referrals and pre-authorizations.
Notify parents about required insurance referral forms or pre-authorizations and discuss copayments, deposits, payment in full, or past-due balances; counsel parents or refer them to the Financial Information Center about payment arrangements.
Use patient-information systems to verify information and ensure systems are synchronized.
Collect and record copayments, deposits, and payments in full, provide receipts, and help the department meet its 85% collection target while following cash-control requirements.
Reconcile upcoming clinic schedules, ensure accounts are set up for billing, flag services requiring authorization, and link walk-in and scheduled or unscheduled appointments to the scheduling system.
Answer telephone calls, address caller needs, manage voicemail within the same business day, distribute mail, and check and respond to work email according to department standards.
Maintain office files and supplies at par levels and keep the reception area and workspace clean.
Promote safety by speaking up about unsafe behavior, validating information, resolving uncertainty, communicating clearly and promptly, and self-checking work.