Front Office Representative- Full-Time

Job Description

Job Description

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