Urgent Care Front Office Representative

Responsibilities

• 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 , 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.

The job holder must demonstrate current competencies for job position including a general understanding of insurance requirements.

High school diploma or GED.

• Successful candidate must have a minimum of one year of patient registration experience in a medical office or healthcare setting.
• Requires knowledge of insurance rules and regulations, medical terminology, and computer scheduling systems.
• 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.
• Must be able to type a minimum of 40 WPM. Previous experience in collecting money is preferred.
• Knowledge of insurance rules and regulations including eligibility and referral requirements. Able 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.