About The Position

The Front Office Representative coordinates patient flow at a high-volume multispecialty clinic. The role includes answering phones, scheduling appointments, registering patients and insurance information, obtaining required signatures, verifying insurance coverage, validating referrals and authorizations, collecting patient liability, and providing financial guidance. The representative supports accurate reimbursement and patient check-in, posts payments and charges, releases information in accordance with organizational and compliance policies, and works with care teams and other internal and external customers to keep operations running smoothly. The position works independently under regular supervision in a fast-paced, high-volume environment that requires multitasking, sound judgment, and prioritization. It also includes a range of patient-flow support activities, such as escorting patients, taking vitals and patient history, assisting with treatment, distributing mail and fax information, and ordering supplies.

Requirements

  • High school diploma/GED or equivalent working knowledge.
  • One or more years of work experience in patient financial services, financial or collection services, or insurance industry processes.
  • Ability to manage multiple tasks simultaneously with minimal supervision and work independently.
  • Strong interpersonal, oral, and written communication skills to interact effectively with a wide range of audiences.
  • Strong knowledge of common office software, including word processing, spreadsheet, and database software.

Nice To Haves

  • Experience with the company's systems and processes.
  • Previous cash collections experience.
  • Additional related education and/or experience.

Responsibilities

  • Perform patient registration and check-in, including data entry, providing information and intake forms, obtaining signatures, and generating population health summaries.
  • Verify insurance eligibility and benefits with payors; assist with obtaining or validating pre-certifications, referrals, and authorizations.
  • Calculate and collect patient liability based on insurance benefits and expected reimbursement; explain financial policies and available alternative payment arrangements.
  • Enter payments and charges, reconcile them accurately and promptly, balance the cash drawer at the beginning and end of the day, and prepare daily bank deposits with required paperwork.
  • Schedule office visits and procedures in the medical practice and external practices as needed, taking payor plan provisions into account; confirm appointments and ensure patients are prepared for visits.
  • Communicate proactively with patients and other customers by phone, email, and in person; coordinate with care teams, management, centralized services, and HIMS to support patient flow.
  • Assist with requests for patient medical records in accordance with company policies and procedures and state and federal laws.
  • Support patient flow through activities such as escorting patients, taking vitals and patient history, assisting with treatment, distributing mail and fax information, and ordering supplies.
  • Prioritize work independently and use sound judgment to support timely and appropriate patient care in a fast-paced, multitask environment.
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