PT-OT Clinic; Full Time

Children's National Hospital

9d•$22 - $44•Onsite

About The Position

The Senior Clinic Operations Representative supports workflow and operations in a single-specialty ambulatory clinic, triages resource issues, and involves a supervisor or manager when needed. The role helps the department meet financial objectives, provides training and mentoring to employees, and is expected to perform all Clinic Operations Representative functions. The position may float to other clinics or ROCS for coverage. It reports to the Clinic Operations Manager or Practice Manager; the next step in the career ladder is Team Lead. The role covers patient scheduling, registration, insurance verification and authorization, billing preparation, daily reconciliation, office support, and performance improvement. Duties include maintaining accurate patient and insurance information, collecting payments, supporting clinic schedules and charge capture, addressing work queues, and helping reduce denials and resolve missing charges. Schedule: 8:30 a.m.–5:00 p.m. The position is full-time and has a listed pay range of $21.81–$43.62.

Requirements

High school diploma or GED.
At least 3 years of experience performing billing, patient registration, 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.
Complete the Ambulatory Services training curriculum and pass all competency assessments, including a mock clinic.

Nice To Haves

Associate's degree.
Microsoft Office experience, particularly Word and Excel.

Responsibilities

Ensure clinic workflow and triage resource issues, involving a supervisor or manager as needed.
Support department financial objectives and perform all functions of a Clinic Operations Representative.
Schedule, register, and arrive patients in the appropriate systems; maintain accurate demographic and insurance information and update records in accordance with department standards.
Manage cancellations, no-shows, rescheduling, follow-up appointments, and opening or closing schedules as needed.
Greet patients and parents courteously; obtain required consents and distribute compliance materials; collect copies of insurance cards and photo identification and route appropriate documentation.
Collect and record co-payments, deposits, and payments in full, provide receipts, and help the department meet its collection target.
Respond to patient portal work lists and other appointment or inquiry queues.
Verify insurance eligibility, referrals, and pre-authorizations; discuss payment requirements with parents and refer them to the Financial Information Center when appropriate.
Use available patient-information systems to verify that records are synchronized and document insurance-related activity.
Reconcile upcoming clinic schedules, check billing setup and authorization flags, review appointment appropriateness, and backfill open slots within required timeframes.
Confirm appointment reminders, reconcile daily cash receipts and deposits, and reconcile charge capture against schedules.
Ensure quality registration work queues are addressed in a timely manner.
Work with the manager to reduce registration and authorization denials and research or resolve missing charges.
Monitor and correct registration errors, review quality-assurance reports, and provide input to the manager on training needs.
Provide expertise, workflow guidance, training, and mentoring to peers and patient access representatives.
Answer telephone calls, address caller needs, manage voicemail within the same business day, and follow applicable call-handling standards.
Distribute mail and work returned mail as needed; check work email at least three times daily and respond within 24 hours or the next business day.
Maintain office files and supplies, keep the reception area and workspace clean, and provide other support as needed.
Float to other clinics or ROCS for coverage when required.