Front Office Representative for Pediatric Care in Gilbert

3 days ago

Gilbert, Arizona, United States MSCCN Full time
Job Summary:

As a Front Office Representative for Pediatric Care in Gilbert, you will play a critical role in ensuring a smooth patient flow process. Your primary responsibilities will include answering phones, registering patients, and obtaining required signatures. You will also be responsible for conducting registration and obtaining financial reimbursement for all patients accessing service at clinics and physician practices.

Key Responsibilities:
  • Performs registration/check-in processes, including data entry activities, providing patients with information and intake forms, obtaining necessary signatures, and generating population health summaries.
  • Assists the front office in answering phones, taking messages, prescription refills, locating information, and other related duties.
  • Documents correspondence in the patient's medical record, updates demographic and insurance information in the practice management system, and receives physician's orders and completes patient registration.
  • Obtains necessary authorizations, pre-certifications, and/or referrals, works closely with the billing department to ensure accurate coding for all charges, and verifies insurance eligibility benefits for services rendered with payors and documents appropriately.
  • Calculates and collects patient liability according to verification of insurance benefits and expected reimbursement, explains and provides financial policies and available resources for alternative payment arrangements to patients and their families, and enters payments/charges for services rendered and performs daily payment/charge reconciliation in a timely and accurate manner.
  • Balances cash drawer at the beginning and end of the day, prepares daily bank deposit with necessary paperwork sent to centralized billing for record purposes, and confirms patient appointments for the following day as necessary and ensures patients are properly prepared for visits.
  • Assists in responding to requests for patient medical records according to company policies and procedures, and state and federal laws, provides information and customer service to patients and patient families, and provides information and instructions to patients regarding clinic procedures and services.
  • Performs general office duties such as distributing mail and fax information, ordering supplies, and works under direct supervision and follows structured work routines.

Requirements:
  • High school diploma/GED or equivalent working knowledge.
  • Requires knowledge of patient financial services, financial, collecting services or insurance industry experience and customer service skills as normally acquired over one or more years of related work experience.
  • Requires the ability to build familiarity with medical terminology and an understanding of all common insurance and payor types, accurate and efficient keyboarding skills, and the ability to work effectively with common office software.
  • Must have highly developed interpersonal skills and communications skills, with a strong customer service orientation to effectively interact with a wide range of audiences.
  • Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently.

Preferred Qualifications:
  • Previous medical, financial services and/or customer service work experience.
  • Additional related education and/or experience.

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