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Patient Access Representative

Playground Pediatrics, Raeford, NC, United States


Pediatric Patient Access Representative

If you thrive in a fast-paced clinic and love caring for children, this is the place to shine! Every patient, every family, every day your skills make a difference. In this role, you'll play a vital part in supporting the care and comfort of our pediatric patients and their families.
As a Patient Access Representative, you'll be one of the first friendly faces families meet when they visit our practice. From scheduling and registration to insurance verification and financial clearance, you'll ensure patients are ready for care the moment they arrive. Your commitment to accuracy and exceptional service helps keep each patient's record up-to-date, supporting high-quality care and an outstanding front-desk experience.
Schedule: Full-time (36 hours/week), with a half-day on Fridays and a rotating half-day Saturday about once every five weeks after training.
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
Requirements:
High School diploma or GED
Minimum one (1) year of customer service experience
Reliable transportation with a valid driver's license and acceptable driving record
Ability to travel between clinic locations to support patient volume and clinic operations
Availability to participate in a rotating half-day Saturday approximately once every five weeks
Preferred:
Healthcare experience, preferred
Knowledge, Skills & Abilities:
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
If you're inspired by the opportunity to support pediatric patients and create a positive experience for families, we encourage you to apply!