Medical Front Office Representative

Location: Orange, CA
Date Posted: 03-06-2018
Medical Front Office Representative
Orange, CA
Full-time Monday to Friday 8 am – 5 pm (exact time could change)
No felonies or misdemeanors
Must have an ABC certificate of completion and current CPR/BLS certificate
A medical group in Orange is seeking a Medical Front Office Representative. As a multispecialty medical group, the group specializes in pulmonary medicine and primary care.
Under the supervision of the Medical Office Manager, the Front Office Representative shall effectively accomplish the day-to-day synchronization of all clerical activities at the front desk. This position functions as an intermediary and front facing representative of the practice with patients, physicians, staff, healthplans, as well as the community-at-large.
There are four functional areas in the front office; scheduling, patient check-in, referral coordination, and patient check-out. Although Front Office Representatives are generally assigned to a primary functional area, it is the expectation that employees are cross-trained and can provide coverage in all service areas as assigned by the Medical Office Manager.

  • Open or close office as shift requires, ensuring that all doors are secured; equipment turned on/off.
  • Welcomes patients and visitors to the medical office.
  • Obtains all required documents, forms and information, assisting patients with form completion as necessary.
  • Ensures complete and accurate registration, and timely patient check-in.
  • Inputs demographic and insurance information into EMR. Reviews current registration information with patient and updates information as required.
  • Performs all practice scheduling functions, including appointment scheduling, confirmation calling, cancellations and reschedules, notifying clinical staff of appointment changes as appropriate.
  • Informs clinical personnel when patient arrives.
  • Properly checks patient out at the end of visit.
  • Promptly answers and routes incoming telephone calls, taking detailed messages as appropriate.
  • Verifies insurance eligibility/copayment amount to collect patient payments according to company policy.
  • Ensures that referral and authorization forms are accurate, timely and complete.
  • Conducts follow-up to all submitted requests and documents response. Takes appropriate action for any deferred or denied requests.
  • Notifies patient of the status of referrals or authorizations (approved, denied, pending, peer to peer, etc.).
  • Treats all information and data within the scope of the position with complete confidentiality and security. Maintains all practices to protect PHI and adhere to HIPAA standards.
  • Cooperates fully in all risk management activities and investigations.
  • Contributes to the achievement of excellence in healthcare through delivering quality care and compassionate interactions.
  • Demonstrate courteous behavior through polite and respectful communication with all co-workers, providers, referring physicians and their staff, nursing, service personnel, outside vendors, contracted services personnel.
  • Possesses the interpersonal skills necessary to interact effectively with patients and families, who may or may not be under physical and/or emotional stress.
  • Recognizes when others are in need of assistance and consistently offers to help when own workload permits.
  • Promotes a professional image by adhering to the established dress code.
  • Attends all mandatory education and in-services programs.
  • Contributes to the time management of the office by being punctual to work as well as on assignments.
  • Follows all office health and safety standards.
  • Complies with office policies and procedures.
  • Ability to maintain and protect confidential information.
  • Offers suggestions of ways to improve practice.
  • Assists in stocking office supplies.
  • Assists with training and orientation for new employees.
  • Reports any/all negative patient interactions, including patient safety issues, exam errors, and complications/difficulties during office visit. Completes associated “Event Notification” form according to company procedure.
  • Maintains cleanliness and neatness of workspace and patient waiting area.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily and within the guidelines set forth by the company.

  • High school Diploma or GED required.
Practical Knowledge / Skills / Experience
  • Prior experience preferred in handling and balancing cash.
  • General knowledge of healthcare insurance and terminology.
  • Ability to maintain a high level of confidentiality at all times.
  • High level of customer service skills with a genuine caring approach to helping people.
  • Knowledge of grammar, spelling and medical terminology.
  • Ability to solve practical problems and deal with a variety of situations.
  • Ability to apply basic mathematical concepts to practical situations.
  • Ability to think ahead and anticipate the items needed for upcoming tasks, and develop a time-line for events prior to deadlines.
  • Ability to multi-task and prioritize in order to make sure tasks are completed in a timely manner.
  • Ability to communicate effectively with all levels of staff and management. This position requires that the individual be able to decipher levels of appropriateness when faced with a situation (chain of command, need to know basis and guaranteed follow through). Display positive representation of the corporation.
  • Demonstrate a positive attitude with changing conditions and a willingness to function as a productive member of a fast-pace team environment.
Computer Skills
  • Basic computer skills including Microsoft Word, Windows and an email system.
  • Preferred previous experience with computers and/or automated scheduling.
  • Additional Preferred Position Qualifications
  • Bilingual English/Spanish communication skills a plus.

Corrine Hill
Job Developer
Hope Builders  | 801 N. Broadway, Santa Ana, CA 92701
(714) 543-5105 ext. 159 |
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