Clinic Operations Representative - Orthopedics Clinic (Washington, DC)

Children's National Hospital

12d • $21 - $41 • Onsite

About The Position

The Clinic Operations Representative provides patient services and administrative support for the Orthopedics Clinic. Under moderate supervision, the representative interacts courteously with patients, parents, physicians, and staff; verifies patient demographic and insurance information; and may notify families about managed-care requirements or schedule specialty appointments. The role may require floating to other clinics or regional outpatient centers for coverage. The position reports to the Clinic Operations Supervisor or Clinic Operations/Practice Manager. The next career step is Senior Clinic Operations Representative or Team Lead.

This position is based at the main hospital at 111 Michigan Avenue NW, Washington, DC, with a Monday–Friday schedule from 8:30 a.m. to 5:00 p.m. The pay range is $20.75–$40.99.

Work includes patient registration and scheduling, insurance eligibility and authorization verification, collection of payments, preparation of clinic schedules for billing, and general office support. The representative is expected to follow department policies and procedures, maintain accurate records, communicate clearly, and actively promote safety for patients, families, visitors, and coworkers.

Requirements

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

Nice To Haves

• Microsoft Office experience, particularly Word and Excel.

Responsibilities

• Schedule patients accurately in the department’s scheduling system, including follow-up and rescheduled appointments.
• Complete patient registration by phone or in person, collect and update demographic and insurance information, and ensure registration accuracy.
• Greet and arrive patients and parents in the appropriate system, obtain required consents, and distribute compliance-related materials.
• Obtain and store copies of insurance cards and photo identification, and ensure appropriate forms and documentation reach the insurance company and hospital HIM department.
• Respond to patient portal work lists, appointment requests, fax queues, and email requests.
• Verify insurance eligibility and managed-care requirements, and notify families when referrals or pre-authorizations are needed.
• Discuss copayments, deposits, payment in full, and past-due balances with parents; counsel them or refer them to the Financial Information Center about payment arrangements.
• Verify insurance and pre-authorization/referral information before procedures, with a goal of obtaining authorizations five days before service.
• Use patient information systems to confirm that information is consistent across systems.
• Collect and record copayments, deposits, and payments in full, provide receipts, and help the department meet its collection target.
• Maintain departmental cash-control and collection requirements.
• Reconcile upcoming clinic schedules, prepare accounts 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, and meet applicable department call-handling standards.
• Distribute mail and handle returned mail as needed.
• Check work email at least three times daily and respond to inquiries within 24 hours or by the next business day.
• Maintain office files and supplies at PAR levels and keep the reception area and workspace clean.
• Provide other office support as needed.
• Promote safety by speaking up about unsafe behavior, verifying information, resolving uncertainty, communicating clearly, and using Stop, Think, Act, and Review to check work.

Benefits

• Comprehensive medical, prescription, infertility, and transgender health coverage.
• Paid time off, including vacation accrued from day one, sick leave, holidays, and a personal day.
• 401(k) plan.
• Healthcare and dependent care spending accounts.
• Employer-paid life, AD&D, and long-term disability coverage, with optional supplemental plans.
• Tuition assistance.
• Fitness resources.
• Employee assistance.
• Commuter benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED