Medical Practice Representative II (Medicine)

Performs various front desk and clerical duties in a medical office including such functions as complete demographic and insurance registration, charge entry, scheduling patients and/or verifying insurance information; and other duties as assigned.

 ESSENTIAL FUNCTIONS

• Demonstrates knowledge of FPI and its practices, including payer contracts, policies and best practices.
• Exhibits mid-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.
•  Maintains Registration Certification to include entering accurate information in the GE Practice Management System and exhibiting a high level of understanding payer categories and Registration FSCs.

EDUCATION and/or EXPERIENCE 

• High school diploma or general education degree (GED) preferred
• Two to three years medical office experience
• General understanding and application of basic accounting principles
• PC proficiency
• Strong customer service skills
• Accurate data entry skills
• Current knowledge of payer requirements for referrals and pre-authorization
• Knowledge of GE, EPIC or similar computerized billing system
• Medical terminology preferred