Address
Form of workRESPONSIBLE FOR:
Under general supervision of the Practice Manager or Front Office Supervisor, assists with the planning, scheduling, and coordination of Front Office staff activities in the daily operation of patient registration, scheduling, and insurance information collection a physicians' practice; duties require considerable judgment in the application of established office practices and procedures; serves as a role model to other staff members through the demonstration of leadership skills and by sharing knowledge; serves as a preceptor for new non-clinical staff.
KEY RESPONSIBILITIES:
Compliance: Ensures compliance with all HIPAA policies specifically relating to patient confidentiality
and release of information; maintains strict confidentiality on all patient information and practice matters;
remains current on HIPAA, OSHA, Infection Control, patient safety, and other mandatory regulations,
standards, and organizational policies and procedures.
Section Management: Assists with the daily supervision of the Front Office staff for a physician practice;
ensures for the proper distribution of work assignments and the utilization of personnel and reports
deficiencies to the supervisor; conducts daily audits of Front Office operations to ensure that patient
registration, scheduling, and insurance documentation has been conducted appropriately and efficiently;
ensures for the efficient and courteous collection of patient co-payments and balances; coordinates with
back office staff to ensure for the timely and efficient flow of patients to the providers; reports all events
that may adversely affect practice operations to Practice Manager or Front Office Supervisor and
recommends processes and procedures for improvement.
Patient Registration and Charge Posting: Ensures that patients with problem and/or past due accounts
are notified in advance of their appointments to discuss financial and/or insurance issues; reviews
incoming patient accounts for outstanding balances and ensures that insurance coverage is verified prior
to date of service; instructs Front Office staff of the action to be taken on problem and/or past due accounts
and the amount to collect at the time of service; assists charge entry personnel in resolving complex CPT
and ICD-9 coding issues; ensures that patients are presented with bills and that their charges are posted
to their account at check out; audits charges daily to confirm that they are balanced to Epic; bills
charges daily through billings claim process and makes corrections as needed; assists registration and
charge entry personnel, as needed, with Epic Registration and Charge Entry functions.
Cash Balancing: In accordance with office protocol and established standards, ensures that patient
balances are paid at check out for the time of service and that payments are balanced with Epic on a
daily basis; reconciles cash drawer and records daily receipts at the end of each day; prepares balances
and bank deposits in accordance with established close-out procedure and ensures that transaction
batches are posted before end of day; posts all payment batches daily.
Billing Charges: Ensures that all patient encounters are billed in Epic before end of day and that
claims are processed through claims edits and are corrected and rebilled.
Unbilled Charges: Produces unbilled charge reports on a daily basis to determine if insurance claims
have not been produced on posted charges; ensures that "Kept Appointments but No Charges" reports
are produced on a daily basis to determine possible unbilled charges.
Audit Functions: Verifies the correct payor attached on every patient encounter; compares the insurance
entered on the Insurance Maintenance Screen to the scanned insurance card; verifies that certificate
number is appropriate for specific plan; reports the errors to Front Office personnel as a training tool;
communicates potential coding inconsistencies to physicians and appropriate staff members.
Inpatient Billing: Audits hospital card information prior to charge entry to ensure proper utilization of
CPT/ICD-9 codes and the charged amount as per established office policy.
Financial Advisement: Periodically reviews patient accounts and advises patients of their financial
obligations for past due balances; may establish payment plans in compliance with organizational
payment plan policies; reviews patient accounts for insurance coding errors and resolves patient's billing
issues as needed; documents patient accounts revisions in Epic; refers complex billing issues to the
appropriate Central Business Office representatives and responds to Central Business Office's requests
for account information when requested; properly documents, using Credit Notes, all activities entered on
patient accounts.
Safety: Follows all practice protocols and established standards that promote a safe and productive work
environment; maintains work area and lobby in neat and orderly manner; promptly reports equipment
malfunctions to the practice manager.
Communications: Communicates in a professional manner; demonstrates effective and appropriate oral
and written communication skills with patients, staff, and healthcare providers; demonstrates an
understanding of leadership principals through interactions with staff and healthcare providers.
Professional Development: Assumes responsibility for own professional growth by participating in
continuing education activities and/or professional organizations; attends required meetings and in-
services, and participates in committees.
Leadership: Demonstrates leadership principals through interaction with staff and healthcare providers;
complies with standards of care policies and procedures and participates in their development; assists
with the orientation of new and temporary staff; serves as a preceptor for new non-clinical staff; may
assist with the planning and implementation of office-based in-services and competency testing.
Materials Management: Maintains office supplies and materials for Front Office area; requests supplies
as needed; may order and maintain a supplies and equipment inventory for assigned area or office and
issues supplies and equipment as required.
MINIMUM EDUCATION REQUIRED:
High school diploma or equivalent and four (4) years of Front Office or related experience required.
OR
Associate's degree in Business, Healthcare or related field and two (2) years of Front Office or related experience required.
MINIMUM EXPERIENCE REQUIRED:
High school diploma or equivalent and four (4) years of Front Office or related experience required.
OR
Associate's degree in Business, Healthcare or related field and two (2) years of Front Office or related experience required.
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
None.
ADDITIONAL QUALIFICATIONS:
Must possess above average data entry skills.
Coder certification preferred.
