About this role
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. EDUCATION · High school diploma/GED or equivalent working knowledge preferred. EXPERIENCE · Minimum of one year of patient registration experience in a medical office or healthcare setting.
Job Description Front Office Representative I · Requires knowledge of insurance rules and regulations, medical terminology, and computer scheduling systems. · 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. · Bilingual (English/Spanish) strongly preferred. · Previous experience in collecting money is preferred. KNOWLEDGE · Knowledge of insurance rules and regulations including eligibility and referral requirements. · Able to verify the eligibility of each payer, per patient according to defined parameters. · Knowledge of medical terminology and HIPAA Guidelines. · Computer knowledge, including Windows-based programs. SKILLS · Skill in customer service. · Skill in communicating effectively with physicians, clinical staff, and the public. · Skill in establishing good working relationships with both internal and external customers. ABILITIES · Ability to maintain patient confidentiality. · Ability to communicate with upset and frustrated patients while consistently providing excellent customer service. · Demonstrate empathy, concern, good listening skills, and compassion for all patients. ENVIRONMENTAL WORKING CONDITIONS · Normaloffice environment. · Some travel between various clinic locations. PHYSICAL/MENTAL DEMANDS · Requires sitting and standing associated with a normal office environment. · Some bending and stretching are required. · Manual dexterity using a calculator and computer keybo