Front Office Representative at LOUISIANA ORTHOPAEDIC SPECIALISTS LLC

Position Summary

Responsible for maintaining a high level of customer service while assuming responsibility for the efficient, productive, and professional operation of the front office, which includes patient reception, scheduling of patients, collecting patient demographics, insurance information, and collecting patient payments.

Qualification

-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.

Duties and Responsibilities

- High school Promptly greet and acknowledge patients upon arrival; notify medical assistants and providers of patient check-in

- Instruct patients on completing medical history and information forms; review and update accounts as needed

- Obtain accurate demographic, insurance, and financial consent information through patient and guarantor interviews

- Identify and collect co-payments, co-insurances, and outstanding account balances at the time of service

- Explain financial requirements and billing procedures to patients; refer complex insurance inquiries to the Site Billing Specialist

- Evaluate patient financial status and establish payment plans within authorized limits

- Accurately complete insurance verification and benefits review; notify appropriate parties of coverage or authorization issues

- Scan all required documents, including photo IDs, insurance cards, referrals, and patient forms, into the electronic system

- Review estimated out-of-pocket costs and inform patients of any required authorizations or referrals for future visits

- Maintain general knowledge of insurance plans and coverage accepted by LOS

- Communicate updates or delays to patients in the lobby when providers are running behind schedule

- Maintain a secure and accurate cash drawer and perform daily balancing and reconciliation

- Adhere to all HIPAA and LOS confidentiality standards to ensure patient privacy

Core Competencies

- Strong understanding of insurance rules, regulations, eligibility, and referral requirements, with the ability to verify patient coverage accurately.

- Knowledge of medical terminology and HIPAA guidelines, ensuring compliance and patient confidentiality.

- Proficiency with computer systems and Windows-based programs, including electronic health records.

- Excellent customer service skills, aligned with organizational culture and code of conduct.

- Effective communication skills with physicians, clinical staff, patients, and the public.

- Ability to build and maintain positive working relationships with internal teams and external stakeholders.

- Skilled in de-escalating difficult situations and providing compassionate, empathetic care to upset or frustrated patients.

Physical Requirements

- Requires sitting and standing associated with a typical office environment. Some bending and stretching are required.

- Manual dexterity using a calculator and computer keyboard.

Work Environment

- Normal office environment