Patient Care Service Representative II

Job Description

Job Description

About Us

Modena Health ("MH") and Modena Allergy & Asthma ("MAA") are leading and rapidly growing medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona—and ambitious plans for national expansion. We are physician-led, hospitality-focused, and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine.

Known for our high standard of excellence, we provide compassionate, patient-centered care for both pediatric and adult patients. Our model combines hospitality-driven service with innovative technology solutions that streamline operations, improve clinical outcomes, and enhance the experience for both patients and providers.

At Modena, we aim to hire great people, treat them well, and help them find meaning and purpose in our mission. Our dedicated team values collaboration, positivity, and growth while striving to improve lives through expert diagnosis, treatment, and research. We are looking for high-energy, kind, and collaborative individuals eager to grow personally and professionally while making a meaningful impact in the lives of others.

Position Summary

We are seeking a highly skilled and compassionate Patient Care Services Representative II to join our team in a Patient Services Representative (PSR) role. This position targets front office administrative duties and is ideal for someone who thrives in a dynamic and patient-centered environment. This role is non-exempt (hourly) and full-time, working 40 hours per week, Monday through Friday . Applicant must be open to a flexible start and end time that aligns with clinic hours. Must be more than proficient with CPT and ICD-10 coding.

This role will be based primarily in our  La Jolla clinic but may also provide support to other nearby locations within San Diego County. The ideal candidate is adaptable and enjoys collaborating across multiple sites to ensure seamless operations and excellent patient experiences. 

Key Responsibilities

• Front Office & Administrative Duties:
• Greet patients and visitors offering professionalism and a concierge feel.
• Manage check-in and check-out processes on our EHR system, verify insurance, and collect co-pays.
• Schedule patient appointments, testing appointments, and follow-ups in collaboration with providers and their requests.
• Submit and track prior authorizations, including multi-platform processing and submitting required documentation.
• Answer incoming calls at a high call volume and respond to patient inquiries with courtesy and accuracy.
• Maintain up-to-date, HIPAA-compliant records in the electronic health record (EHR) system.
• Ensure the front office area remains clean, organized, and well-stocked with necessary forms and supplies.
• Assist with emergency response protocols in a controlled and calm manner by alerting clinical staff as needed.
• Contribute to the onboarding and training of new team members to build support and cross-functional skills.

Qualifications & Requirements

• Education: High school diploma or equivalent required.
• Experience: 5+ years of experience in a hospitality, medical receptionist, or Medical Assistant (MA) role.
• Experience with insurance verification, scheduling, and electronic health records preferred.
• Must be proficient in Word and Excel
• Licensure & Certifications: 
• CPR certification (or willingness to obtain upon hire).
• Skills & Abilities:
• Strong interpersonal, customer service, and communication skills.
• Compassionate, warm and personable with patients
• Excellent organizational and multitasking ability in a clinical setting.
• Knowledge of medical terminology (CPT and ICD-10 coding) and EHR systems.
• Familiarity with HIPAA and OSHA compliance standards.
• Ability to remain composed in fast-paced and emergency situations.
• Commitment to patient confidentiality and high-quality service delivery.
• Preferred Qualifications:
• Prior experience in allergy, immunology, or respiratory care settings.
• Comfort with high volume of patients by call and face to face.
• Experience submitting and managing insurance prior authorizations.
• Experience handling patient referrals

Physical Requirements

Ability to stand, walk, and move throughout the clinic, if applicable, for extended periods; occasionally lift objects up to 25 lbs., bend, stoop, or reach as needed. Frequent use of hands and fingers for patient care and equipment operation. Must have normal (or corrected) vision and hearing and be able to respond quickly in a fast-paced clinical environment, if applicable.

• Competitive compensation and professional development opportunities. Full-time employees are eligible for Modena Health's benefits package, which includes medical, dental, and vision insurance, as well as a 401(k) retirement plan with employer matching.
  • Paid time off (PTO), sick time, floating holidays, and holiday pay are also available to eligible full-time employees in accordance with company policy.

• Opportunity to shape the future of a thriving allergy and asthma practice in beautiful San Diego (and across our expanding network)
• A supportive, mission-focused culture where your contributions directly impact patient outcomes and team growth

If this role excites you, please submit your resume and a cover letter outlining your relevant experience and why you're passionate about joining our team. We look forward to hearing from enthusiastic candidates ready to drive our success!

California Consumer Privacy Act (CCPA) Notice
Modena Health ("MH") and Modena Allergy & Asthma ("MAA") complies with the California Consumer Privacy Act ("CCPA"). Personal information provided in the job application process will be collected, used, and retained in accordance with applicable privacy laws. Candidates may request additional information regarding the categories of personal information collected and the purposes for which it is used during the hiring process.