Healthcare Outcomes Performance Co. (HOPCo)

Front Office Representative- Full time

Healthcare Outcomes Performance Co. (HOPCo)  •  Phoenix, AZ (Onsite)  •  29 days ago
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Job Description

Minimum Qualifications

  • Minimum of one-two years of patient registration experience in a medical office or healthcare setting
  • Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.
  • Requires knowledge of insurance rules and regulations, medical terminology, and computer scheduling systems
  • HSD/GED

Preferred

  • Bilingual (English/Spanish) is strongly preferred.
  • Previous experience in collecting money is preferred.

Essential Functions

  • Promptly greets and acknowledges patients. Informs MAs and Providers of the patient’s arrival
  • Instruct patients in the completion of medical history and patient information forms and make any necessary corrections to the patient's account.
  • Obtains accurate, complete demographic and insurance information and financial contract/consent on patient paperwork, as well as reviewing patients and guarantors to obtain accurate information assuring all necessary documents are populated and signed correctly. Ensure all required authorizations and/or referrals are attached to the appointment for that DOS.
  • Responsible for identifying and collecting co-payments, co-insurances, and past-due account balances.
  • Explains financial requirements to the patient in response to patient questions on billing and insurance matters; refer questions regarding more complex insurance/benefits questions to Site Billing Specialist.
  • Evaluates patient financial status and establish payment plans based on authority levels.
  • Responsible for accurately completing and interpreting insurance verification and benefits. Notifies patients, family members, physicians, and/or supervisors of network insurance coverage issues that may result in coverage reduction.
  • Scans all new or updated patient information into the computer (including photo ID, insurance cards, referrals, and patient paperwork).
  • Schedules follow-up appointments, reviews patient's insurance coverage and notifies patient if service requires authorization or referral, and sends the request to PCP.
  • Maintains general knowledge of insurance plans accepted by HOPCo.
  • Communicates with the patients in the lobby if the physician or provider is running behind schedule.
  • Responsible for maintaining a secure and accurate cash drawer. Responsible for daily balancing of the cash drawer and closing batches.
  • Maintains the strictest patient confidentiality.
  • Maintains a clean and organized front office workspace.
  • Follows established Front Office SOPs.
  • The job holder must demonstrate current competencies for the job position including a general understanding of insurance requirements.

About us:

The Center for Orthopedic Research and Education, We don't mean to brag but did you know The CORE Institute has been ranked by Ranking Arizona: The Best of Arizona Businesses!?

  • #1 for Orthopedic Practices
  • #1 for Healthiest Healthcare Employers
  • #3 for Best Healthcare Workplace Culture
  • Winner in Best Places to Work
Healthcare Outcomes Performance Co. (HOPCo)

About Healthcare Outcomes Performance Co. (HOPCo)

Healthcare Outcomes Performance Company (HOPCo) is the leading provider of musculoskeletal value-based health outcomes management, service line management and practice management. This includes comprehensive management and optimization of specialties such as orthopedics, spine, hand, pain management, rehabilitation and neurology.

HOPCO’s integrated care and analytics platform has proven to increase the quality of patient care and program revenue while reliably reducing the total cost of care across the care continuum for practices, health systems and payors alike.

HOPCo’s affiliated payors, practices and health systems successfully participate in highly efficient value-based contracting (bundled payments, capitated population health programs, and other risk-based arrangements) utilizing HOPCo’s proprietary platforms, IT solutions, integrated analytics, and standardized care pathways. This helps our partners obtain real time, actionable insights into their systems, allowing them to comprehensively manage the entire business while improving outcomes for their treasured patients.

As a result, HOPCo has become the only organization with proven and sustainable success in population health management of musculoskeletal specialty care.

Industry
Healthcare & Social Services
Company Size
201-500 employees
Headquarters
Phoenix, AZ
Year Founded
2000
Website
hopco.com
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