Patient Care Specialist II

Job Description Summary

How will you make an impact & Requirements

The Patient Care Specialist II performs advanced administrative and patient access duties to support daily
medical office operations. This role is responsible for independently registering patients verifying insurance
processing referrals and resolving basic billing or documentation issues. The Specialist II ensures all
interactions comply with HIPAA privacy and organizational policies while consistently providing exceptional
service to patients families and staff.
Responsibilities
Greets registers and checks in patients ensuring all demographic insurance consent and contact
information is accurate and current in the EHR.
Collects and processes copayments following standard cash-handling and reconciliation procedures.
Verifies insurance eligibility obtains required authorizations and documents verification results
accurately in the patient record.
Provides clear explanations of check-in processes insurance requirements and payment expectations.
Answers and routes phone calls schedules or reschedules appointments and maintains daily
appointment schedules while communicating adjustments to clinical staff.
Processes urgent specialist referrals appointment ticklers and medical record release requests in a
timely and accurate manner.
Performs clerical and administrative tasks including filing faxing scanning and uploading documents
into the EHR.
Reviews patient accounts for outstanding balances or documentation errors and partners with billing
to resolve discrepancies.
Maintains full HIPAA and privacy compliance by safeguarding patient information properly managing
documentation and limiting access to authorized users only.
Identifies and reports potential privacy breaches compliance risks or billing concerns promptly
according to established protocols.
Prepares routes and manages medical documentation to ensure completeness confidentiality and
accuracy.
Provides professional courteous customer service and maintains composure during high-volume or
challenging situations.
Coordinates scheduling across multiple providers departments or specialties to support efficient
patient flow.
Audits patient charts registration data and referral documentation to identify and correct compliance
or process issues.
Participates in mandatory training programs related to compliance privacy workflow changes and
patient experience.
Supports the Practice Manager and care team with assigned administrative tasks.
Participates in departmental audits workflow redesign initiatives and implementation of new systems
or technologies.
Prepares and distributes operational reports related to scheduling efficiency registration accuracy or
service metrics.
Demonstrate excellent guest service to internal team members and patients.
Performs other related duties as assigned.
Qualifications
High school diploma or GED required.
2years of progressive experience in a healthcare or patient access environment.
Strong working knowledge of EHR systems insurance verification and medical terminology.
Strong attention to detail interpersonal communication and time-management skills.
Demonstrated professionalism and commitment to patient confidentiality.
Demonstrates empathy and professionalism when interacting with patients and families.
Adheres to HIPAA and privacy standards in all communications and record handling.
Consistently meets expectations follows direction and maintains punctuality.
Adjusts to changing workflows and patient volume with composure and teamwork.
Demonstrated ability to manage multiple priorities while maintaining accuracy.
Proven commitment to maintaining confidentiality accuracy and professional ethics.
Ability to work independently in a fast-paced cross-functional environment.
Physical Demands
Sedentary work. Exerng up to 10 pounds of force occasionally and/or negligible amount of force
frequently or constantly to li carry push pull or otherwise move objects. Repeve moon.
Substanal movements (moons) of the wrists hands and/or fingers. The worker must have close
visual acuity to perform an acvity such as: preparing and analyzing data and figures; transcribing;
viewing a computer terminal; extensive reading. Ability to li to 15 lbs. independently not to exceed
50 lbs. without help.
Equal Employment Opportunity
MPG is committed to equal employment opportunities. We will not discriminate against employees or
applicants for employment in employment opportunities or practices based on race color sex
(including pregnancy) genetic information sexual orientation religion physical or mental disability
age military or veteran status marital status familial status national origin or any other legally
protected class.
Equal opportunity applies to all areas of the employment relationship including hiring promotions
training terminations working conditions pay and other terms and conditions of employment.
Millennium Physician Group (MPG) is committed to the full inclusion of all qualified
keeping with our commitment MPG will take steps to assure that people with disabilities are provided
reasonable accommodations. Accordingly if reasonable accommodation is required to fully
participate in the job application or interview process to perform the essential functions of the
position and/or to receive all other benefits and privileges of employment contact