PRN Clinic Operations Representative - PG​/Howard County; Mon - Fri, Day Shift

PRN Clinic Operations Representative - PG/Howard County (Mon - Fri, Day Shift)

Position

Job is a PRN position requiring up to 40 hours per week, Monday through Friday, with shifts the hours are 7:00 am – 6:00 pm (8.5 hour shifts). The position will provide support at the Prince Georges and Howard County Clinics.

This position reports to the Clinic Operations Supervisor or Clinic Operations/Practice Manager and provides patient services and administrative support in clinic operations. The representative will interact with parents, patients, physicians and other staff under moderate supervision in a courteous manner. The role also includes assistance to other employees within the department as well as other departments. Responsibilities include collecting and verifying demographic and insurance information, scheduling specialty appointments, floating to other clinics or ROCs for coverage, and contributing to the career ladder as a Senior Clinic Operations Rep or Team Lead.

High School Diploma or GED (Required)

1 year experience performing billing, patient registration, and scheduling, medical insurance verification, insurance screening (Required)

Broad clinic knowledge, customer service skills. Computer knowledge necessary. Microsoft Office experience preferred (Word & Excel). Complete Ambulatory Services training curriculum and pass all competency assessments, including a mock clinic. The ability to type a minimum of 35 words per minute required.

• Demonstrate accuracy of scheduling patients using the applicable scheduling system for the department.
• Complete computer‑aided, online registration screen with parent/guardian via telephone or in person in a professional & courteous manner.
• Collect accurate demographic and insurance information. Update systems as needed following department standards.
• Reschedule appointment for patients who did not show or for ancillary services cancellations by providers/technologist. Schedule follow‑up appointments at checkout if applicable.
• Greet patients and parents courteously. Arrive patient in appropriate system based on department policy.
• Obtain required consents for department & ensure distribution of compliance related materials (i.e., HIPAA Privacy Notice, Patient Rights).
• Obtain copy of insurance card and photo  be stored in medical record (copy or scan activity required). Ensure appropriate insurance company and CNMC HIM department receive copies of appropriate forms/documentation. Complete all documentation in accordance with department policy and procedure.
• Respond to patient portal work lists (i.e., appointment requests, fax queues, email requests, etc. May include messaging center work lists in the future).
• Verify insurance eligibility using applicable eligibility system. Ensure managed care carve‑outs (lab and radiology carve‑outs) are adhered to.
• Notify parents of the need for completed insurance referral form or pre‑authorization prior to scheduled/un‑scheduled appointments.
• Discuss co‑payment, deposits, payment in full, or past‑due balance collections with parents prior to scheduled appointment in a professional & courteous manner.
• Counsel parents or refer parent to Financial Information Center (FIC) for establishing payment schedule or method of payment.
• Verify insurance information is complete prior to procedure and collect and verify pre‑authorization/referral information: goal is to obtain authorizations 5 days in advance of service.
• Utilize all systems where patient information may be stored (EPRS, SCI, Cerner, IDX, McKesson, etc.) to verify that systems are in sync.

• Collect and record co‑payments, deposits and payments in full and provide payer with receipt. Responsible for helping department meet 85% of the collection target for the department.
• Maintain departmental requirements regarding cash controls and collections.
• Reconcile schedules for upcoming clinic session to include ensuring that accounts are set up for billing and services requiring authorization are flagged:
  Activity should be completed 3‑4 days in advance of…