Healthcare Outcomes Performance Co. (HOPCo)

Compensation

Full Description

Minimum Qualifications: • Minimum of one – two years of patient registration experience in a medical office or healthcare setting • 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. • Requires knowledge of insurance rules and regulations, medical terminology, and computer scheduling systems • HSD/GED Preferred: • Bilingual (English/Spanish) strongly preferred. • Previous experience in collecting money is preferred. Essential Functions • Promptly greets and acknowledges patients. Informs MAs and Providers of the patient’s arrival • Instructs patients in completion of medical history and patient information forms and makes any necessary corrections to the patient's account. • Obtains accurate, complete demographic and insurance information and financial contract/consent on patient paperwork, as well as reviewing patients and guarantors to obtain accurate information assuring all necessary documents are populated and signed correctly. Ensure all required authorizations and/or referrals are attached to the appointment for that DOS. • 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 or updated patient information into the computer (including photo ID, insurance cards, referrals, and patient paperwork). • Schedules follow-up appointments, reviews patient's insurance coverage and notifies patient if service requires an authorization or referral, and sends the request to PCP. • Maintains general knowledge of insurance plans accepted by HOPCo. • 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 the cash drawer and closing batch. • Maintains strictest patient confidentiality. • Maintains a clean and organized front office workspace. • Follows established Front Office SOP’s. • The job holder must demonstrate current competencies for the job position including a general understanding of insurance requirements. About us: The Center for Orthopedic Research and Education, We don't mean to brag but did you know The CORE Institute has been ranked by Ranking Arizona: The Best of Arizona Businesses!? • #1 for Orthopedic Practices • #1 for Healthiest Healthcare Employers • #3 for Best Healthcare Workplace Culture • Winner in Best Places to Work