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NATIONAL LEADERS IN PEDIATRIC CARE

Ranked among the top 10 pediatric hospitals in the nation, Children’s Hospital Los Angeles (CHLA) provides the best care for kids in California.

Here world-class experts in medicine, education and research work together to deliver family-centered care half a million times each year. From primary to complex critical care, more than 350 programs and services are offered, each one specially designed for children.

The CHLA of the future is brighter than can be imagined. Investments in technology, research and innovation will create care that is personal, convenient and empowering. Our scientists will work with clinical experts to take laboratory discoveries and create treatments that are a perfect match for every patient. And together, CHLA team members will turn health care into health transformation.

Join a hospital where the work you do will matter—to you, to your colleagues, and above all, to our patients and families. The work will be challenging, but always rewarding.

It’s Work That Matters.

Overview

*This is not a fully remote position. On-site presence required as needed to support operational workflows, particularly when in-person clinic support is necessary*

**Purpose Statement/Position Summary:** The Patient Services Rep II provides patient-families with a positive experience at CHLA by performing clerical tasks primarily associated with answering incoming calls, registration, and patient check-in/out procedures, collection of patient co-pay or deductibles, scheduling and verifying patient appointments. Completes financial clearance and authorization duties, serves as the administrative support for assigned providers. Works closely with assigned providers to ensure follow up care is completed. Assists with creation and review of divisional performance reports and metrics. This role requires strong organizational skills, attention to detail, and effective communication to manage a variety of clerical duties such as patient encounter creation, referral documentation, and insurance verification.

*Note: This is a hybrid position. While some responsibilities may be completed remotely, on-site presence will be required as needed.

Key Responsibilities:

• Call Management:

o Manage inbound calls from multiple extensions, ensuring proper routing to the appropriate departments.

o Respond to voicemails and follow up with staff or departments as needed.

• Eligibility Verification & Encounter Creation:

o Conduct eligibility checks using state portals.

o Create and manage patient encounters across a range of specialty clinics.

o Adjust workflows to match monthly fluctuations in enrollment activity.

• Referral & Enrollment Tracking:

o Maintain up-to-date records of enrolled and un-enrolled individuals using internal tracking spreadsheets.

o Submit and document new or updated referrals based on insurance or plan changes.

o Ensure cross-checking between insurance changes and system documentation for continued coverage verification.

• Patient Registration & Documentation:

o Complete new registrations in internal systems for referred patients.

o Coordinate with other teams to distribute medical record numbers and initiate encounter workflows.

o Route documents for scanning into patient charts under appropriate record categories.

• Administrative Support Tasks:

o Monitor trackers for newly enrolled patients.

o Update diagnosis information and communicate with records departments.

o Respond to insurance-related inquiries from staff and leadership.

o Update and verify primary care provider information in internal systems.

• Workflow Oversight & Automation:

o Support automated processes, such as data pulls from designated portals.

o Complete manual verification steps that may not be captured through automation.

• Other Duties:

o Support additional administrative responsibilities or special assignments as directed.

• Standard weekday schedule with required attendance at periodic on-site sessions.

• Participation in recurring internal check-ins and team coordination meetings.

**Minimum Qualifications/Work Experience:** One year experience in medical front office setting, 3+ years in medical office setting preferred. Bilingual English/Spanish is preferred. Excellent telephone manner and ability to deal effectively with the public. Demonstrates strong critical thinking and problem solving skills.

**Education/Licensure/Certifications:** High school diploma or GED required.

Pay Scale Information

USD $43,680.00 - USD $65,062.00

CHLA values the contribution each Team Member brings to our organization. Final determination of a successful candidate’s starting pay will vary based on a number of factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this specific job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs. CHLA looks forward to introducing you to our world-class organization where we create hope and build healthier futures.

Children's Hospital Los Angeles (CHLA) is a leader in pediatric and adolescent health both here and across the globe. As a premier Magnet teaching hospital, you’ll find an environment that’s alive with learning, rooted in care and compassion, and home to thought leadership and unwavering support. CHLA is dedicated to creating hope and building healthier futures – for our patients, as well as for you and your career!

CHLA has been affiliated with the Keck School of Medicine of the University of Southern California since 1932.

At Children’s Hospital Los Angeles, our work matters. And so do each and every one of our valued team members. CHLA is an Equal Employment Opportunity employer. We consider qualified applicants for all positions without regard to race, color, religion, creed, national origin, sex, gender identity, age, physical or mental disability, sexual orientation, marital status, veteran or military status, genetic information or any other legally protected basis under federal, state or local laws, regulations or ordinances. We will also consider for employment qualified applicants with criminal history, in a manner consistent with the requirements of state and local laws, including the LA City Fair Chance Ordinance and SF Fair Chance Ordinance.

Qualified Applicants with disabilities are entitled to reasonable accommodation under the California Fair Employment and Housing Act and the Americans with Disabilities Act. Please contact CHLA Human Resources if you need assistance completing the application process.

Our various experiences, perspectives and backgrounds allow us to better serve our patients and create a strong community at CHLA.

UCEDD