Front Office Representative- Full-Time

Healthcare Outcomes Performance CompanySun City, ArizonaOn-siteFull-timeJunior, 1–2 yearsListed 18 minutes ago

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About this role

Benefits :

- Competitive Health & Welfare Benefits

- Monthly $43 stipend to use toward ancillary benefits

- HSA with qualifying HDHP plans with company match

- 401k plan after 6 months of service with company match (Part-time employees included)

- Employee Assistance Program that is available 24/7 to provide support

- Employee Appreciation Days

- Employee Wellness Events

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 patients 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 SOPs.

- The job holder must demonstrate current competencies for the job position including a general understanding of insurance requirements.