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Front Office Representative-PRN

2 months ago

Sun City West, United States Center for Orthopedic and Research Excel Full time
Job DescriptionJob Description

Minimum Qualifications:

  • Minimum of one – two years of patient registration experience in a medical office or healthcare setting
  • Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.
  • Requires knowledge of insurance rules and regulations, medical terminology, and computer scheduling systems
  • HSD/GED

Preferred:

  • Bilingual (English/Spanish) strongly preferred.
  • Previous experience in collecting money is preferred.

Essential Functions

  • Promptly greets and acknowledges patients. Informs MAs and Providers of the patient’s arrival
  • Instructs patients in completion of medical history and patient information forms and makes any necessary corrections to the patient's account.
  • Obtains accurate, complete demographic and insurance information and financial contract/consent on patient paperwork, as well as reviewing patients and guarantors to obtain accurate information assuring all necessary documents are populated and signed correctly. Ensure all required authorizations and/or referrals are attached to the appointment for that DOS.
  • Responsible for identifying and collecting co-payments, co-insurances, and past-due account balances.
  • Explains financial requirements to the patient in response to patient questions on billing and insurance matters; refers questions regarding more complex insurance/benefits questions to Site Billing Specialist.
  • Evaluates patient financial status and establishes payment plans based upon authority levels.
  • Responsible for accurately completing and interpreting insurance verification and benefits. Notifies patients, family members, physicians, and/or supervisors of network insurance coverage issues that may result in coverage reduction.
  • Scans all new or updated patient information into the computer (including photo ID, insurance cards, referrals, and patient paperwork).
  • Schedules follow-up appointments, reviews patient's insurance coverage and notifies patient if service requires an authorization or referral, and sends the request to PCP.
  • Maintains general knowledge of insurance plans accepted by HOPCo.
  • Communicates with the patients in the lobby if the physician or provider is running behind schedule.
  • Responsible for maintaining a secure and accurate cash drawer. Responsible for daily balancing of the cash drawer and closing batch.
  • Maintains strictest patient confidentiality.
  • Maintains a clean and organized front office workspace.
  • Follows established Front Office SOP’s.
  • The job holder must demonstrate current competencies for the job position including a general understanding of insurance requirements.