Patient Care Service Representative II

Position Summary

We are seeking a highly skilled and compassionate Patient Care Services Representative II to join our team in a hybrid Medical Assistant (MA) and Patient Services Representative (PSR) role. This unique position blends front office administrative duties with back office clinical support, ideal for someone who thrives in a dynamic and patient-centered environment. This role is non-exempt (hourly) and full-time, working 40 hours per week, Monday through Friday.

This role will be based in La Jolla. The ideal candidate is adaptable and enjoys collaborating across multiple sites to ensure seamless operations and excellent patient experiences.

Key Responsibilities

• Front Office & Administrative Duties:
  • Greet patients and visitors warmly and professionally.
  • Manage check-in and check-out processes, verify insurance, and collect co-pays.
  • Schedule patient appointments, testing, and follow-ups in collaboration with providers.
  • Submit and track prior authorizations, including verifying insurance and submitting required documentation.
  • Answer incoming calls and respond to patient inquiries with courtesy and accuracy.
  • Maintain up-to-date, HIPAA-compliant records in the electronic health record (EHR) system.
  • Ensure the front office area remains clean, organized, and well-stocked with necessary forms and supplies.
  • Assist with emergency response protocols by alerting clinical staff as needed.
  • Contribute to the onboarding and training of new team members to build support and cross-functional skills.
• Clinical & Patient Care Duties (if MA certified):
  • Perform diagnostic procedures such as allergy skin testing, pulmonary function tests (PFTs), and FeNO testing.
  • Administer allergy and immunotherapy injections following clinical safety protocols.
  • Prepare and maintain allergy serum and oral desensitization vials.
  • Monitor and document patient vitals and treatment responses.
  • Support physicians and advanced practice providers during clinical consultations and procedures.
  • Educate patients and families on allergy and asthma care plans and treatment options.
  • Respond to and manage allergic reactions, including emergency interventions when needed.
  • Escort patients to exam rooms and prepare for provider exams.
  • Assist in preparing asthma action plans, Epinephrine training, and discharge instructions.
  • Maintain clean and stocked exam rooms; log refrigerator temperatures and sterilize instruments per protocols.
  • Assist with clinical prior authorizations under the direction of a supervisor.
  • Additional responsibilities as assigned.

Qualifications & Requirements

• Education: High school diploma or equivalent required.
• Experience: 3+ years of experience in a front desk, medical receptionist, or Medical Assistant (MA) role.
• Experience with insurance verification, scheduling, and electronic health records preferred.
• Licensure & Certifications:
  • Certified or Licensed Medical Assistant (California), if performing clinical duties.
  • CPR certification (or willingness to obtain upon hire).
• Skills & Abilities:
  • Strong interpersonal, customer service, and communication skills.
  • Excellent organizational and multitasking ability in a clinical setting.
  • Knowledge of medical terminology and EHR systems.
  • Familiarity with HIPAA and OSHA compliance standards.
  • Ability to remain composed in fast-paced and emergency situations.
  • Commitment to patient confidentiality and high-quality service delivery.
• Preferred Qualifications:
  • Prior experience in allergy, immunology, or respiratory care settings.
  • Comfort with performing skin testing and pulmonary diagnostics.
  • Experience submitting and managing insurance prior authorizations.

Compensation

The hourly range for this position is $27.00-32.00/hour. The actual compensation for this role will be determined by a variety of factors, including but not limited to the candidate’s skills, education, and experience.