Patient Care Specialist

Responsibilities

• Greet, register, and check in patients while keeping demographic, insurance, consent, and contact information accurate in the EHR.
• Collect and process copayments using standard cash-handling and reconciliation procedures.
• Verify insurance eligibility, obtain required authorizations, and document verification results.
• Explain check-in procedures, insurance requirements, and payment expectations to patients.
• Answer and route phone calls; schedule and reschedule appointments.
• Process urgent specialist referrals, appointment ticklers, and medical record release requests.
• Perform filing, faxing, scanning, and document uploads into the EHR.
• Review patient accounts for outstanding balances or documentation errors and work with billing to resolve issues.
• Maintain HIPAA, privacy, and compliance standards.
• Identify and report privacy breaches, compliance risks, or billing concerns.
• Audit patient charts, registration data, and referral documentation for accuracy and compliance.
• Support training, departmental audits, workflow changes, and system implementations.
• Prepare and distribute operational reports related to scheduling, registration accuracy, and service metrics.

Qualifications

• Ability to work under close supervision in a fast-paced medical office environment.
• Strong customer service, communication, and organizational skills.
• Ability to maintain confidentiality and handle sensitive patient information appropriately.
• Comfortable coordinating with clinical staff, billing teams, and practice leadership.