Medical Front Office Representative
- Health insurance
- Dental insurance
- Vision insurance
- Supplemental Insurance Plans
- 401(k) with matching
- Flexible spending account
- Paid time off
- Company Perks
- Screen potential and existing patients, by telephone and in person, to determine appropriate appointment time; alert physician of patients that require immediate attention
- Schedule patient appointments following office protocols (SOPs)
- Prepare charts for appointments; print daily appointment list for provider, type and create new patient chart
- Check patients in for appointments; verify insurance and demographic information at each visit, collect co-payments and patient balances
- Copy insurance card and any other needed information
- Place chart, other medical records and (if applicable) hospital/ER reports in rack for physician consideration
- Inform patients of delays or other situations that may result in a longer than normal wait
- Describe policies and procedures to new and established patients
- Check out patient after they've seen the physician; schedule return visit as needed
- Perform pre-certification and/or referrals as needed
- Scan demographics, insurance cards and reviewed/corrected encounter forms
- Confirm approved Medicare diagnosis is used for every Medicare charge
- When patient is referred to another office, have medical records release signed and gather needed information for patient to take with to appointment (i.e. records)
- Pull patient charts and other documents for correspondence; route charts to physician desk as needed
- File all patient charts
- Copy, scan and mail documents, forms, and charts, as needed
- Perform insurance denial follow up and A/R follow up as requested
- Update patient charts by inserting medical records or other documentation related to their care
- Answer phones; take and relay messages; refer callers to other departments as needed
- Maintain a current phone list of often used numbers including emergency rooms, police and fire departments, social service agencies, hospital departments, physical and or occupational therapy agencies, home health agencies, nursing homes
- Remain current on medical records issues including documentation, record release, confidentiality, record keeping and retrieval
- Witness informed consent process upon physician or coworker’s request
- Keep the reception/waiting area clean at all times; discard old and torn magazines and books
- Assist with copying of forms and creation of paper charts
- Obtain insurance authorization timely and effectively
- Attend and participate in all staff and front office meetings
- Any duties or projects as assigned by the Front Office Manager
- High school diploma or GED required
- One year medical office experience, preferred
- Bilingual in English and Spanish, preferred
- Knowledge of medical practice procedures and functions, preferred
- Knowledge of insurance and billing procedures including Medicare, Medicaid, preferred
- Previous experience with telephone systems and office equipment including copiers, adding machines, fax machines and computers
- Knowledge of medical records policies including state and federal compliance, preferred
- Knowledge of medical terminology, preferred
- Previous experience with insurance authorizations
- Good oral and written communication skills
- Ability to develop and maintain effective and professional working relationships with patients, medical staff, coworkers and the public
- Ability to react calmly and effectively in emergency situations
- Ability to interpret, adapt and apply guidelines and procedures
- Ability to work with a diverse population, demonstrating patience and professionalism
- Ability to work a varying work schedule, some weekends may be required
- Ability to maintain strict confidentiality at all times
- Must be a team player with a positive attitude
- Ability and desire to represent the clinic in a professional manner
- Position requires sympathy, tact and understanding in dealing with patients, physicians, and coworkers
- Ability to adjust to various personalities
- Ability to work with and without supervision and perform a variety of routine tasks
- Willingness to accept responsibility for established procedures
- Regularly required to sit, stand, walk, speak and hear
- Sufficient hand dexterity to use a computer keyboard and be capable of reading a computer screen
- Occasionally lift and/or move up to 20 pounds
- Front Office Manager
- Full-time position, non-exempt
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