Registration & Scheduling Representative I - Outpatient Orthopedics Clinic

Overview

This position greets patients and families, conducts patient registration, and obtains financial reimbursement and applicable insurance information for all patients accessing service at FHP medical facilities. Reviews all account information to optimize collection efforts and system recording events. Expedites reimbursement, ensures compliance, and resolves issues as they arise to promote point of service decisions. Performs financial counseling when appropriate. Explains and obtains signatures on registration materials and legal forms, such as Consent for Healthcare Services, Financial Agreement, Advance Directive, Hospital Grievance policy.

Pay & Benefits:

• Compensation: $20 to $26.75 hourly wage based on experience and education
• Additional Pay: Shift Differential, Annual Increases, Paid Time Off
• Benefits: medical, vision, dental, 401k with employer match
• Education Benefits: FHP Tuition Assistance, Student Loan Forgiveness
• Other Benefits: Onsite Gym, Wellness Programs, Discount programs, The Learning Center (childcare services)
• Schedule:
  • Orthopedics - Full-time, 40 hours per week, 5x8 hour day shifts  Varied schedule.  M-Sat

Responsibilities

• Greet patients promptly and professionally, ensuring a positive first impression.
• Answers inbound calls promptly, documents relevant details in phone notes, and ensures accurate and efficient communication of information to the appropriate team or individual.
• Accurately gather and input patient demographics, insurance information, and other required data into the system.
• Verify insurance eligibility, benefits, and coverage, and obtains per-authorization and pre-certifications and notifications prior to services being rendered.
• Obtain necessary signatures, consent forms, and documentation from patients.
• Receives physician orders and seeks clarification, if needed. Coordinates case times for treatments or diagnostic procedures in a computerized scheduling system. Verifies and reviews physician privilege status prior to scheduling.
• Calculate, collect and process co-pays, payments, or outstanding balances as needed.
• Address patient inquires regarding registration, insurance, or billing processes.
• Collaborates with clinical staff and/or business office to ensure seamless patient flow and accurate data sharing.
• Monitors and retrieves voicemails regularly, ensuring messages are reviewed and routed to the appropriate team for timely follow up- and resolution.
• Sorts and organizes incoming documents in RightFax, ensuring they are accurately categorized and routed to the appropriate team or department.

Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Foundation Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.

Qualifications

• High school diploma/GED or equivalent working knowledge.
• Requires Skills Normally Acquired Over Two (2) or More Years of Related Work Experience
• Requires excellent customer service skills and knowledge, as normally acquired with one (1) or more years of related work experience.
• Requires the ability to manage multiple tasks simultaneously with minimal supervision and ability to work independently.
• Requires excellent interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences. Must have the ability to handle ongoing face-to-face contact with patients and staff while functioning in a busy medical office environment.
• Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required.

PREFERRED QUALIFICATIONS

• Medical terminology experience is preferred.
• Additional related education and/or experience preferred.

Foundation Health Partners is an EEO/AAP employer; qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.