Medical Practice Representative III - Pathology

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. Requires independent judgment and decision-making ability.

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

ESSENTIAL JOB FUNCTIONS

1. Demonstrates knowledge of FPI and its practices, including payer contracts, policies and best practices.
2. Serves as lead worker and trainer for junior level staff.
3. 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.
4. 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.
5. 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.