Front Office Representative

Job Description

Job Description

Description :

ESSENTIAL FUNCTIONS :

• 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 : EDUCATION :

High school diploma or GED.

REQUIREMENTS : EXPERIENCE :

KNOWLEDGE :

SKILLS :

ABILITIES :

ENVIRONMENTAL / WORKING CONDITIONS :

Normal office environment

PHYSICAL / MENTAL DEMANDS :

Requires sitting and standing associated with a normal office environment. Some bending and stretching

required. Manual dexterity using a calculator and computer keyboard.

ORGANIZATIONAL REQUIREMENTS :

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.