Patient Access Representative
Playground Pediatrics
Job Type
Full-time
Hours of Operations: Mon-Fri, 8:00 AM-5:00 PM / 7:00 AM - 4:00 PM (rotating weekday shifts), Saturday Clinic 8:00 AM-12:00 PM RESPONSIBILITIES:
- Answers calls for multiple areas in efficient and effective manner using standard greetings for opening of call, content of call and closure of call.
- Ensures accuracy in answering questions and assisting customer with requests to meet their needs.
- Demonstrate exceptional customer service and patient focus to make each encounter extraordinary.
- Verify and accurately capture patient demographics, insurance, and appropriate medical information.
- Schedule appointments using appropriate electronic system while following appropriate protocols for clinic/area, including prioritizing patient's health concerns according to the department's urgency.
- Ensure that patient questions and problems are resolved efficiently, effectively, and expeditiously within appropriate area of knowledge.
- Provide information to patients and callers regarding appointment, date, time, location, clinic guidelines, parking, etc.
- Captures customer information and document using messaging system to clinic staff and/or providers.
- Schedules appointments in electronic systems using guidelines for area/department including prioritizing patients' health problems according to their urgency while making safe and effective decisions. May include referrals, follow-up on overdue well visits, or overdue vaccinations.
- Updating patient files and appointment information accurately
- Communicating information and important details to other medical care staff
- Contacting insurance companies regarding coverage, preapprovals, billing, and other issues
- Processing payments from patients and handling billing issues between patients and insurance companies
- Managing various types of paperwork and other clerical duties
- Maintain strict confidentiality; adheres to all OSHA, HIPAA, and other federal, state, and local guidelines/regulations.
- Demonstrate dedication to the mission, vision, values, and goals of the organization.
- Regular and reliable attendance including attending monthly staff meetings.
- Perform other duties as assigned
- High School diploma or GED
- Minimum one (1) year of customer service experience
- Reliable transportation, valid driver's license and auto insurance
- Ability to travel between clinic locations to support operations needs
- Availability to participate in a rotating half-day Saturday approximately once every 2-3 weeks (8:30 AM-12:30 PM)
- Healthcare experience, preferred
- Strong understanding of front office healthcare workflows, including patient registration, scheduling, and insurance verification
- Confident use of electronic medical record (EMR) systems and office technology to ensure accurate and timely patient information
- Delivers a positive patient experience by providing friendly, professional, and empathetic service to pediatric patients and families
- Communicates clearly and effectively with patients, parents, providers, and team members
- Thrives in a fast-paced environment while maintaining accuracy, organization, and attention to detail
- Effectively prioritizes responsibilities and remains composed when managing competing demands or high patient volume
- Uses sound judgment, critical thinking, and problem-solving skills to resolve issues and support smooth clinic operations
- Demonstrates initiative, reliability, and the ability to work both independently and as part of a collaborative team
- Consistently upholds HIPAA compliance and protects patient confidentiality
Vacancy posted 3 days ago
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