Front Desk Receptionist; Chinese

This is a full-time, on-site Front Desk Receptionist and PA Specialist role based in Glendale, and Monterey Park CA, requiring fluency in Chinese (Mandarin or Cantonese) and English.

• Greet patients and visitors and provide a welcoming, professional experience.
• Manage patient check-in and check-out processes and verify insurance information.
• Answer and route incoming phone calls, messages, and patient inquiries.
• Coordinate appointment scheduling and assist with patient requests.
• Maintain an organized and efficient front desk and reception area.
• Perform clerical duties including filing, data entry, scanning, and processing patient forms.
• Maintain patient confidentiality and handle sensitive information appropriately.
• Collaborate with clinical and administrative teams to support efficient front desk operations and a positive patient experience.
• Perform daily and monthly insurance eligibility and benefits verification, reviewing coverage, authorization requirements, and patient responsibilities.
• Research and document payer information, including eligibility, benefits, payer IDs, and authorization requirements.
• Initiate and manage prior authorizations (PAs) for medical services and specialty medications, gathering and submitting required patient, insurance, prescription, and clinical documentation.
• Monitor pending PAs, follow up with insurance companies, and resolve requests for additional information or documentation.
• Review denials and manage appeals, gathering supporting records, submitting reconsiderations, and tracking cases through final determination.
• Coordinate with physicians, patients, insurance companies, pharmacies, and specialty pharmacies to resolve coverage and authorization issues and prevent delays in treatment or medication fulfillment.
• Maintain accurate documentation and tracking of insurance verifications, authorizations, approvals, denials, and appeals.

Qualifications

• Candidates should possess strong Receptionist Duties and Clerical Skills, including managing check-in/check-out, appointment scheduling, and basic administrative tasks.
• Candidates should possess excellent Phone Etiquette and Communication skills for handling calls, messages, and patient interactions in a professional manner.
• Candidates should possess solid Customer Service skills, with the ability to remain calm, courteous, and helpful in a fast-paced clinical environment.
• Candidates should be fluent in Chinese/Cantonese and English, with the ability to communicate clearly with a diverse patient population.
• Prior experience in a medical or clinic front desk setting is preferred; familiarity with electronic health records and scheduling systems is a plus.
• High school diploma or equivalent required; additional training in healthcare administration or related fields is beneficial.
• Strong attention to detail, reliability, and the ability to work collaboratively with clinical and administrative staff.