Front Desk in Miami, Florida at Gastromed, LLC
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Job Description
REPORTS TO: Endoscopy Center Administrator / Office Manager
FLSA STATUS: Non-Exempt
The Front Desk position is responsible for supporting the efficient operation of the Endoscopy Center’s front office, including patient registration, scheduling, insurance verification, referrals and pre-certifications, collection of patient financial responsibilities, medical records, and patient communications.
This position serves as a primary point of contact for patients and works closely with physicians, clinical staff, insurance carriers, and other team members to ensure patient information is accurate, insurance requirements are completed prior to procedures, and patients receive professional and courteous service. The position also provides administrative and insurance-related support as needed to maintain an efficient patient flow and minimize delays or billing issues.
QUALIFICATIONS/EDUCATION:- High school diploma or equivalent required.
- Previous receptionist, medical office, insurance verification, or billing experience preferred.
- Ability to read, write, and communicate effectively.
- Bilingual English/Spanish preferred; must be able to read, write, and speak English.
- Strong verbal and written communication skills.
- Basic computer skills and ability to use Electronic Medical Records (EMR/EHR), scheduling systems, payer portals, email, and other applications required for the position.
- Knowledge of insurance verification, benefits, referrals, pre-certifications, and patient financial responsibilities preferred.
- Ability to maintain patient confidentiality and comply with HIPAA requirements.
- N/A
- Excellent customer service, communication, and telephone skills.
- Strong organizational skills with the ability to manage multiple priorities.
- Strong attention to detail and accuracy when entering patient, demographic, and insurance information.
- Ability to verify insurance coverage, benefits, referrals, and authorization requirements.
- Ability to communicate professionally with patients, physicians, staff, and insurance representatives.
- Ability to work independently and as part of a team in a fast-paced healthcare environment.
- Ability to maintain confidentiality and protect patient information.
- Demonstrates professionalism, dependability, flexibility, and sound judgment.
- Ability to follow established policies, procedures, safety requirements, and regulatory standards.
- N/A
- Answer and route incoming telephone calls and respond to patient inquiries professionally and courteously.
- Check telephone messages and route or respond to messages as appropriate.
- Receive, distribute, and process incoming faxes and mail.
- Schedule procedures and follow-up appointments as applicable.
- Print and distribute schedules as required.
- Confirm patient appointments and provide appropriate scheduling information.
- Perform pre-operative registration of patients.
- Verify patient demographic information and accurately enter or update information in the computer system.
- Obtain copies of insurance cards and other required patient documentation.
- Verify insurance eligibility, coverage, and benefits for scheduled patients.
- Determine referral, pre-certification, and authorization requirements prior to scheduled procedures.
- Obtain required pre-certifications and authorizations from insurance carriers or other appropriate sources prior to procedures.
- Check the status of pending referrals and authorizations and follow up as necessary.
- Contact patients regarding referral/authorization status, copays, coordination of benefits, or other insurance-related requirements.
- Obtain required patient signatures on applicable registration, consent, authorization, and financial forms.
- Collect copays and other applicable patient financial responsibilities.
- Process credit card payments when applicable and maintain appropriate documentation.
- Assist patients with insurance-related questions and concerns as necessary.
- Assemble and maintain patient charts and medical records.
- Review charts for completeness and identify missing information or reports.
- File and maintain medical records in accordance with Center policies.
- Print and attach applicable procedure documentation or superbills to the medical record.
- Forward applicable documentation to billing or insurance personnel for processing.
- Assist with claims-related documentation and follow-up functions when assigned.
- Follow up with insurance carriers regarding payment issues, denials, errors, overpayments, or non-payment when assigned.
- Maintain appropriate insurance records, including EOBs and related documentation, as applicable.
- Assist with preparation of patient statements, reports, cash balance information, deposits, and other administrative or insurance records as assigned.
- Maintain current insurance carrier contact information.
- Monitor office and billing supplies and notify management when supplies are needed.
- Maintain accurate documentation in the patient's medical record and applicable systems.
- Secure patient, medical, and insurance records at the end of the day.
- Follow established infection-control, cleanliness, sanitation, fire-safety, and facility emergency procedures.
- Maintain patient privacy, confidentiality, and rights at all times.
- Participate as a team member and support Performance Improvement activities.
- Demonstrate appropriate judgment, professionalism, flexibility, and accountability.
- Use supplies and resources appropriately and cost-effectively.
- Perform other duties as assigned by management.
Work involves periods of standing and sitting, as well as lifting, bending, and reaching. The position requires the ability to push or pull items weighing 50 pounds or less.
Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the position.
WORKING ENVIRONMENT:The Endoscopy Center operates Monday through Friday and includes pre-operative areas, procedure rooms, and post-procedure areas.
The work environment may involve potential exposure to communicable diseases, contaminated blood and body fluids, and hazardous materials. Employees are required to follow applicable infection-control and safety procedures.
The above statements describe the general nature and principal functions of this position and should not be construed as an exhaustive list of all duties and responsibilities.
PRE-EMPLOYMENT REQUIREMENTS:- Successful completion of a criminal background check.
- Successful completion of a drug screening.
- Satisfactory professional reference checks.
We offer a competitive compensation and benefits package. Employee Health Insurance is covered at 100%. Additional benefits include Dental, Vision, Life Insurance, and a 401(k) plan, based on eligibility.