Front Office Representative

Healthcare Outcomes Performance Company•Mesa, AZ

4h•Onsite

About The Position

The Center for Orthopedic Research and Education (CORE Institute) is seeking a Front Office Representative. This role involves greeting patients, managing patient information, collecting payments, verifying insurance, scheduling appointments, and maintaining a clean and organized workspace. The ideal candidate will have excellent communication skills and knowledge of medical office procedures and insurance regulations. CORE Institute has been recognized by Ranking Arizona for its excellence in orthopedic practices, healthcare employer health, and workplace culture.

Requirements

Minimum of one – two years 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) 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 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; 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 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 an 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 batch.
Maintains strictest patient confidentiality.
Maintains a clean and organized front office workspace.
Follows established Front Office SOP’s.
Demonstrates current competencies for the job position including a general understanding of insurance requirements.