Patient Care Specialist II

Patient Care Specialist II

The Patient Care Specialist II performs advanced administrative and patient access duties to support daily medical office operations. This role is responsible for independently registering patients, verifying insurance, processing referrals, and resolving basic billing or documentation issues. The Specialist II ensures all interactions comply with HIPAA, privacy, and organizational policies while consistently providing exceptional service to patients, families, and staff.

Responsibilities

• Greets, registers, and checks in patients, ensuring all demographic, insurance, consent, and contact information is accurate and current in the EHR.
• Collects and processes copayments following standard cash-handling and reconciliation procedures.
• Verifies insurance eligibility, obtains required authorizations, and documents verification results accurately in the patient record.
• Provides clear explanations of check-in processes, insurance requirements, and payment expectations.
• Answers and routes phone calls, schedules or reschedules appointments, and maintains daily appointment schedules while communicating adjustments to clinical staff.
• Processes urgent specialist referrals, appointment ticklers, and medical record release requests in a timely and accurate manner.
• Performs clerical and administrative tasks including filing, faxing, scanning, and uploading documents into the EHR.
• Reviews patient accounts for outstanding balances or documentation errors and partners with billing to resolve discrepancies.
• Maintains full HIPAA and privacy compliance by safeguarding patient information, properly managing documentation, and limiting access to authorized users only.
• Identifies and reports potential privacy breaches, compliance risks, or billing concerns promptly according to established protocols.
• Prepares, routes, and manages medical documentation to ensure completeness, confidentiality, and accuracy.
• Provides professional, courteous customer service and maintains composure during high-volume or challenging situations.
• Coordinates scheduling across multiple providers, departments, or specialties to support efficient patient flow.
• Audits patient charts, registration data, and referral documentation to identify and correct compliance or process issues.
• Participates in mandatory training programs related to compliance, privacy, workflow changes, and patient experience.
• Supports the Practice Manager and care team with assigned administrative tasks.
• Participates in departmental audits, workflow redesign initiatives, and implementation of new systems or technologies.
• Prepares and distributes operational reports related to scheduling efficiency, registration accuracy, or service metrics.
• Demonstrates excellent guest service to internal team members and patients.
• Performs other related duties as assigned.

Qualifications

• High school diploma or GED required.
• 2+ years of progressive experience in a healthcare or patient access environment.
• Strong working knowledge of EHR systems, insurance verification, and medical terminology.
• Strong attention to detail, interpersonal communication, and time-management skills.
• Demonstrated professionalism and commitment to patient confidentiality.
• Adheres to HIPAA and privacy standards in all communications and record handling.
• Consistently meets expectations, follows direction, and maintains punctuality.
• Adjusts to changing workflows and patient volume with composure and teamwork.
• Demonstrated ability to manage multiple priorities while maintaining accuracy.
• Proven commitment to maintaining confidentiality, accuracy, and professional ethics.
• Ability to work independently in a fast-paced, cross-functional environment.

Physical Demands

• Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Repetitive motion. Substantial movements (motions) of the wrists, hands, and/or fingers. The worker must have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Ability to lift to 15 lbs. independently not to exceed 50 lbs. without help.

Equal Employment Opportunity

• MPG is committed to equal employment opportunities. We will not discriminate against employees or applicants for employment in employment opportunities or practices based on race, color, sex (including pregnancy), genetic information, sexual orientation, religion, physical or mental disability, age, military or veteran status, marital status, familial status, national origin, or any other legally protected class.
• Equal opportunity applies to all areas of the employment relationship, including hiring, promotions, training, terminations, working conditions, pay, and other terms and conditions of employment.
• Millennium Physician Group (MPG) is committed to the full inclusion of all qualified individuals. In keeping with our commitment, MPG will take steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, contact View email address on click.appcast.io.