Front Office Representative- Full-Time

Healthcare Outcomes Performance Co. (HOPCo)•Sun City, AZ

3d•Hybrid

About The Position

The Front Office Representative is responsible for greeting and assisting patients, managing administrative tasks, and ensuring a smooth patient experience. This role requires excellent communication and organizational skills, a strong understanding of medical office procedures, and the ability to handle financial transactions and patient inquiries with professionalism and empathy.

Requirements

High school diploma/GED or equivalent working knowledge preferred.
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.
Ability to establish good working relationships with both internal and external customers.
Knowledge of insurance rules and regulations including eligibility and referral requirements.
Ability 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.
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.
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

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

Responsibilities

Promptly greet and acknowledge patients, and inform MAs and Providers of patient arrivals.
Instruct patients in completing medical history and patient information forms, making necessary corrections to patient accounts.
Obtain accurate demographic and insurance information, financial contracts/consents, and ensure all required documents are populated and signed correctly.
Identify and collect co-payments, co-insurances, and past-due account balances.
Explain financial requirements to patients, answer questions on billing and insurance, and refer complex issues to the Site Billing Specialist.
Evaluate patient financial status and establish payment plans based on authority levels.
Complete and interpret insurance verification and benefits, and notify relevant parties of potential coverage reduction issues.
Scan all new or updated patient information into the computer system.
Schedule follow-up appointments, review insurance coverage, and notify patients of authorization or referral requirements.
Maintain general knowledge of accepted insurance plans.
Communicate with patients in the lobby regarding provider schedule delays.
Maintain a secure and accurate cash drawer, including daily balancing and closing batches.
Maintain strict patient confidentiality.
Maintain a clean and organized front office workspace.
Follow established Front Office SOPs.
Demonstrate current competencies, including a general understanding of insurance requirements.