Front Office Representative - OUC

Louisiana Orthopaedic Specialists•Lafayette, LA

4d•Hybrid

About The Position

The role is currently available for both our OUC Ambassador and OUC Scott locations; however, the long-term plan is for the position to be based out of the OUC Youngsville clinic once it opens at the end of the summer. Promptly greets and acknowledges patients. Informs MAs and Providers of patient’s arrival. Instructs patients in completion of medical history and patient information forms, and makes any necessary corrections to the patients account. Obtains accurate, complete demographic and insurance information and financial contract / consent on patient paperwork as well as interviewing patients and guarantors to obtain accurate information. 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 patient or updated patient information into computer (including photo ID, insurance cards, referrals, and patient paperwork). Reviews with patient their estimated out of pocket responsibility for future appointments, reviews patient's insurance coverage and notifies patient if service requires an authorization or referral Maintains general knowledge of insurance plans accepted by LOS. 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 cash drawer. Maintains strictest patient confidentiality. The job holder must demonstrate current competencies for job position including a general understanding of insurance requirements.

Requirements

High school diploma or GED.
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.
Capability of establishing good working relationships with both internal and external customers.
Knowledge of insurance rules and regulations including eligibility and referral requirements.
Ability to verify eligibility of each payer, per patient according to defined parameters.
Knowledge of medical terminology and HIPAA Guidelines.
Computer knowledge, including Windows based programs.
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.

Nice To Haves

Previous experience in collecting money is preferred.

Responsibilities

Greets and acknowledges patients promptly.
Informs MAs and Providers of patient’s arrival.
Instructs patients in completion of medical history and patient information forms, and makes any necessary corrections to the patients account.
Obtains accurate, complete demographic and insurance information and financial contract / consent on patient paperwork.
Interviews patients and guarantors to obtain accurate information.
Identifies and collects 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.
Accurately completes and interprets 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 patient or updated patient information into computer (including photo ID, insurance cards, referrals, and patient paperwork).
Reviews with patient their estimated out of pocket responsibility for future appointments.
Reviews patient's insurance coverage and notifies patient if service requires an authorization or referral.
Maintains general knowledge of insurance plans accepted by LOS.
Communicates with the patients in the lobby if the physician or provider is running behind schedule.
Maintains a secure and accurate cash drawer.
Balances cash drawer daily.
Maintains strictest patient confidentiality.
Demonstrates current competencies for job position including a general understanding of insurance requirements.