Hybrid PRN-Front Office Representative (Urgent Care) na LOUISIANA ORTHOPAEDIC SPECIALISTS LLC
LOUISIANA ORTHOPAEDIC SPECIALISTS LLC · Scott, Estados Unidos Da América · Hybrid
- Junior
- Escritório em Scott
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:
- 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:
- 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.
SKILLS:
- Skill in customer service and an understanding of LOS’ code of conduct and culture.
- Skill in communicating effectively with physicians, clinical staff, and the public.
- Skill in establishing good working relationships with both internal and external customers.
ABILITIES:
- Must be available for 12 hour shift work.
- 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.
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:
- LOS employee manual must be read, and acknowledgement receipt signed.
- OSHA Requirements and training to include:
*Safety Training.
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.
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