PRN Clinic Operations Representative - Northern Virginia; Mon - Fri, Day Shift

PRN Clinic Operations Representative – Northern Virginia (Mon‑Fri, Day Shift)

Join Children's National Hospital as a PRN Clinic Operations Representative. This role involves providing patient services and administrative support in clinic operations. The position reports to the Clinic Operations Supervisor or Clinic Operations/Practice Manager.

Pay Range
: $43,160.00/yr – $85,259.20/yr (actual pay based on skills and experience)

Position is PRN, non‑benefits‑eligible, requires a 6‑month commitment. After successful performance you may be considered for a full‑time benefits‑eligible position.

• Demonstrate accuracy of scheduling patients using the applicable scheduling system.
• Complete computer‑aided, online registration screens with parent/guardian via telephone or in person in a professional and courteous manner.
• Collect accurate demographic and insurance information; update systems as needed per department standards.
• Reschedule appointments for patients who did not show or for ancillary service cancellations; schedule follow‑up appointments at check‑out if applicable.
• Greet patients and parents courteously; arrive patient in the appropriate system based on department policy.
• Obtain required consents for department and ensure distribution of compliance‑related materials (e.g., HIPAA Privacy Notice, Patient Rights).
• Obtain copy of insurance card and photo  be stored in medical record; ensure copies are sent to the CNMC HIM department.
• Respond to patient portal work lists (appointment requests, fax queues, email requests, etc.).

• Verify insurance eligibility using applicable eligibility system; adhere to managed‑care carve‑outs.
• Notify parents of the need for a completed insurance referral form or pre‑authorization prior to scheduled/unscheduled appointments.
• Discuss co‑payment, deposits, payment in full, or past‑due balance collection with parents.
• Refer parent to the Financial Information Center (FIC) for establishing a 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 synchronization.

• Collect and record co‑payments, deposits, and payments in full; provide payer with receipt.
• Maintain departmental requirements regarding cash controls and collections to meet a 85% collection target.

• Reconcile schedules for upcoming clinic sessions, ensuring accounts are set up for billing and flagged for services requiring authorization; complete 3‑4 days in advance (5‑7 days for procedures).
• Appropriately clear walk‑in and ensure scheduled/unscheduled appointments are linked to scheduling system.

• Answer telephone and address caller needs appropriately; avoid transferring calls unnecessarily.
• Distribute mail; work returned mail as needed.
• Check work email at least three times daily; respond within 24 hours.
• Maintain office files and office supplies at required levels.
• Maintain a clean reception area and workspace.
• Provide other support as needed.

• Speak up when team members exhibit unsafe behavior or performance.
• Continuously validate and verify information needed for decision making or documentation.
• Stop in the face of uncertainty and take time to resolve the situation.
• Demonstrate accurate, clear, and timely verbal and written communication.
• Actively promote safety for patients, families, visitors, and co‑workers.
• Practice Stop‑Think‑Act‑Review to self‑check behavior and performance.

• Anticipate and respond to customer needs; follow up until needs are met.

• Demonstrate collaborative and respectful behavior.
• Partner with all team members to achieve goals.
• Receptive to others’ ideas and opinions.

• Contribute to a positive work environment.
• Demonstrate flexibility and willingness to change.
• Identify opportunities to improve clinical and administrative processes.
• Make…