Front Office Patient Financial Services Representative Family Medicine

Front Desk Patient Financial Services Representative

This position coordinates a smooth patient flow process by answering phones, scheduling patient appointments, providing registration of patient and insurance information, obtaining required signatures following established processes, procedures and standards. This position also verifies insurance coverage, validates referrals and authorizations, collects patient liability and provides financial guidance to patients to maximize medical services reimbursement efforts. This also includes accurately posting patients at the point of service and releasing information in accordance with organizational and compliance policies and guidelines.

Core functions include performing registration/check-in processes, verifying insurance eligibility benefits for services rendered with the payors and documents appropriately, calculating and collecting patient liability according to verification of insurance benefits and expected reimbursement, entering payments/charges for services rendered and performing daily payment/charge reconciliation in a timely and accurate manner, scheduling office visits and procedures within the medical practice(s) and external practices as necessary, demonstrating proactive interpersonal communications skills while dealing with patient concerns through telephone calls, emails and in-person conversations, assisting in responding to requests for patient medical records according to company policies and procedures, and state and federal laws, providing a variety of patient services to assist in patient flow including but not limited to escorting patients, taking vitals and patient history, assisting in patient treatment, distributing mail and fax information, ordering supplies, etc. This position requires the ability to retain large amounts of changing payor information/knowledge crucial to attaining reimbursement for the services provided.

Minimum qualifications include a high school diploma/GED or equivalent working knowledge, knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience, strong interpersonal, oral, and written communication skills, and the ability to manage multiple tasks simultaneously with minimal supervision and to work independently.