Patient Access Representative at Playground Management MSO LLC – Raleigh, North Carolina

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.

POSITION SUMMARY:

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: Monday–Friday, 8:00 AM–5:00 PM (40 hours/week), with a rotating half-day Saturday approximately once every 2–3 weeks (9:00 AM–1:00 PM). When scheduled to work Saturday, you’ll enjoy a half-day off during the week. The clinic is closed on Saturdays during the summer months.

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

• High school diploma or GED
• Minimum of one (1) year of customer service experience
• Ability to work a rotating Saturday schedule
• Bilingual in Spanish

Preferred Qualifications

• Previous healthcare experience

Knowledge, Skills & Abilities

• The ability to think critically, solve complex challenges and productively manage conflict
• Strong verbal and written communication skills
• Detail oriented and organized with the ability to perform duties under pressure, prioritize workload, and meet deadlines
• Must have the aptitude and ability to self-direct work

If you’re inspired by the opportunity to support pediatric patients and create a positive experience for families, we encourage you to apply!