Front Office Representative

Healthcare Outcomes Performance Co. (HOPCo) • Flagstaff, AZ

5d • Onsite

About The Position

The Center for Orthopedic Research and Education (CORE Institute) is seeking a Front Office Representative. CORE Institute has been recognized by Ranking Arizona as the Best of Arizona Businesses, including #1 for Orthopedic Practices, #1 for Healthiest Healthcare Employers, #3 for Best Healthcare Workplace Culture, and a winner in Best Places to Work. This role involves greeting patients, managing patient information, handling financial aspects of patient accounts, and ensuring a smooth front office operation.

Requirements

• Minimum of one-two year 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

Nice To Haves

• Bilingual (English/Spanish) is strongly preferred.
• Previous experience in collecting money is preferred.

Responsibilities

• Promptly greets and acknowledges patients. Informs MAs and Providers of the patient’s arrival
• Instructs patients in the 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; refer questions regarding more complex insurance/benefits questions to Site Billing Specialist.
• Evaluates patient financial status and establish payment plans based on 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 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 batches.
• Maintains the 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.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED