Patient Care Service Representative

Modena Allergy + Asthma•Huntington Beach, CA

2d•Onsite

About The Position

Modena Health and Modena Allergy & Asthma are physician-led, hospitality-focused, technology-enabled medical practices specializing in allergy, asthma, and immunology care. They provide compassionate care for pediatric and adult patients and support clinical research and expanding access to medicine. The Patient Care Services Representative II works in a front-office Patient Services Representative role, supporting patient service and administrative operations. The position is non-exempt and full-time, 40 hours per week, Monday through Friday, with flexible start and end times aligned with clinic hours. The role is based primarily at the Huntington Beach clinic and may support other nearby locations within San Diego County. The representative is expected to be highly proficient with CPT and ICD-10 coding. The position includes greeting patients, managing check-in and check-out, scheduling, insurance verification, collecting co-pays, processing prior authorizations, handling a high volume of calls, maintaining HIPAA-compliant records, keeping the front office organized, assisting with emergency protocols, and helping onboard and train team members. Compensation is $20.00–$28.00 per hour, depending on qualifications, relevant experience, and skills.

Requirements

High school diploma or equivalent.
At least 3 years of experience in hospitality, medical reception, or a Medical Assistant role.
Proficiency in Microsoft Word and Excel.
CPR certification or willingness to obtain it upon hire.
Strong interpersonal, customer service, and communication skills.
Compassionate, warm, and personable approach with patients.
Excellent organization and multitasking skills in a clinical setting.
Knowledge of medical terminology, CPT and ICD-10 coding, and EHR systems.
Familiarity with HIPAA and OSHA compliance standards.
Ability to remain composed in fast-paced and emergency situations.
Commitment to patient confidentiality and high-quality service delivery.
More than proficient in CPT and ICD-10 coding.

Nice To Haves

Experience with insurance verification, scheduling, and electronic health records.
Prior experience in allergy, immunology, or respiratory care settings.
Comfort handling high volumes of patients by phone and face to face.
Experience submitting and managing insurance prior authorizations.
Experience handling patient referrals.

Responsibilities

Greet patients and visitors with professionalism and a concierge-style approach.
Manage patient check-in and check-out in the EHR, verify insurance, and collect co-pays.
Schedule patient and testing appointments and follow-ups in coordination with providers’ requests.
Submit and track prior authorizations across multiple platforms and provide required documentation.
Answer high-volume incoming calls and respond to patient inquiries courteously and accurately.
Maintain current, HIPAA-compliant records in the electronic health record system.
Keep the front office clean, organized, and stocked with necessary forms and supplies.
Assist with emergency response protocols by calmly alerting clinical staff as needed.
Contribute to onboarding and training new team members, supporting cross-functional skills.