Front Office Representative- PRN
Healthcare Outcomes Performance Co. (HOPCo) · Phoenix, AZ · 2 wk ago
On-siteAdministrativePart-time
Benefits
- Competitive health & welfare benefits
- Monthly $43 stipend to use toward ancillary benefits
- HSA with qualifying HDHP plan with company match
- 401K plan after 6 months of service with company match (part-time employees included)
- Employee Assistance Program available 24/7 to provide support
- Employee Appreciation Days
- Employee Wellness Events
Responsibilities
- Promptly greet and acknowledge patients
- Inform MAs and providers of patient’s arrival through CPS, using Appointment Status
- Instruct patients in completion of medical history and patient information forms; make necessary corrections to patient accounts
- Obtain accurate, complete demographic and insurance information; ensure financial contracts/consents are populated and signed correctly
- Review patients and guarantors to ensure all required authorizations and referrals are attached to the appointment
- Identify and collect co-payments, co-insurances, and past-due account balances
- Explain financial requirements to patients; refer complex insurance/benefits questions to Site Billing Specialist
- Evaluate patient financial status and establish payment plans based on authority levels
- Accurately complete and interpret insurance verification and benefits
- Notify patients, family members, physicians, and supervisors of network insurance coverage issues
- Scan all new or updated patient information into the computer (photo ID, insurance cards, referrals, patient paperwork)
- Schedule follow-up appointments; review insurance coverage and notify patients if authorization or referral is required
- Maintain general knowledge of insurance plans accepted by HOPCo
- Communicate with patients in the lobby if the physician or provider is running behind schedule
- Maintain a secure and accurate cash drawer; balance daily and close batch
- Maintain strictest patient confidentiality
- Keep front office workspace clean and organized
- Follow established Front Office SOPs
- Demonstrate current competencies for job position, including understanding of insurance requirements
Qualifications
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
- Knowledge of insurance rules and regulations, medical terminology, and computer scheduling systems
- Ability to communicate effectively with physicians, patients, and the public
- Capable of establishing good working relationships with internal and external customers
- Bilingual (English/Spanish) strongly preferred
- Previous experience in collecting money is preferred
Skills
- Customer service and understanding of HOPCo code of conduct and culture
- Effective communication with physicians, clinical staff, and the public
- Establishing good working relationships with internal and external customers
- Ability to maintain patient confidentiality
- Ability to communicate with upset and frustrated patients while providing excellent customer service
- Demonstrate empathy, concern, good listening skills, and compassion for all patients
Knowledge
- Insurance rules and regulations, including eligibility and referral requirements
- Ability to verify eligibility of each payer per patient according to defined parameters
- Medical terminology and HIPAA Guidelines
- Computer knowledge, including Windows-based programs
Environmental Working Conditions
- Normal office environment
- Some travel between various clinic locations
Physical/Mental Demands
- Sitting and standing associated with a normal office environment
- Some bending and stretching required
- Manual dexterity using a calculator and computer keyboard