Medical Practice Representative III-Orthopaedics

Performs front desk leadership functions with or without direct supervisory responsibilities. May oversee and troubleshoot scheduling and/or patient service issues; serves as lead worker and trainer for junior level staff; and other duties as assigned.

 

ESSENTIAL FUNCTIONS

• Demonstrates knowledge of FPI and its practices, including payer contracts, policies and best practices.
• Serves as lead worker and trainer for junior level staff.
• Exhibits advanced level of skill in managing provider schedules and scheduling appointments accurately and effectively, including communicating patient responsibilities (obtaining a referral, bringing a co-pay, presenting identification and an insurance card at check in) and other events as part of the practice pre-visit activities.
• Demonstrates the ability and understanding of FPI policy for cash collection and patient encounter, including collecting co-payments, outstanding balances and posting accurately and efficiently in GE Front Desk Credit Card Module.
• Demonstrates a working knowledge of the revenue cycle as it relates to patient encounters and obtaining/verifying patient demographic and insurance information in order to receive payment for services rendered.

EDUCATION and/or EXPERIENCE

• High school diploma or general education degree (GED)
• Three to five years medical office experience
• Current knowledge of payer requirements for referrals and preauthorization
• Experience in front and back-office operations
• Knowledge of billing and coding for medical services
• Strong customer service skills
• PC proficiency