Front Office Representative - Medical

suncoastchc; Wimauma (FL); On-site; USD 32,000 - 42,000; Full time

Job summary

Suncoast CHC is seeking a Front Office Representative to greet patients, register them, and manage appointments at our Florida centers. The role includes verifying insurance eligibility, assisting with claims and pre-authorizations, and collecting co-pays while maintaining HIPAA-compliant records.

Responsibilities also include answering calls, counseling patients on payment options, and coordinating with the team to ensure smooth patient flow and timely deposits.

Qualifications

• High school diploma or equivalent required.
• Experience in medical front office preferred.
• HIPAA compliance knowledge.
• Ability to handle patient payments and insurance billing.

Responsibilities

• Welcome and register patients in a courteous, professional, and efficient manner.
• Schedule, confirm, and manage appointments for providers, including cancellations and reschedules.
• Verify patient insurance eligibility and assist with claims, referrals, and pre-authorizations.
• Collect co-pays and payments, ensuring accurate application to patient accounts.
• Maintain patient records in compliance with HIPAA regulations.
• Answer phone calls, schedule appointments, and direct inquiries to the appropriate team members.
• Provide financial counseling to patients, explaining insurance coverage, sliding fees, and payment options.
• Scan, organize, and label documents such as medical histories and insurance cards.
• Maintain a clean, organized front office and waiting area.
• Coordinate with the office team to ensure smooth patient flow.
• Assist in preparing daily deposits and handling money accurately.
• Participate in team meetings and training sessions to enhance skills.

Skills

Communication

Interpersonal skills

Organization

Attention to detail

Time management

Problem-solving

Customer service

Stress management

Multitasking

Education

High School Diploma

Tools

EMR software

Microsoft Office

Job description

FRONT OFFICE REPRESENTATIVE - MEDICAL

FLSA: NON-EXEMPT

Duties/Responsibilities:

• Welcome and register patients in a courteous, professional, and efficient manner.
• Schedule, confirm, and manage appointments for providers, including handling cancellations and reschedules.
• Verify patient insurance eligibility and assist with claims, referrals, and pre-authorizations.
• Collect co-pays and payments, ensuring accurate application to patient accounts.
• Maintain patient records in compliance with HIPAA regulations.
• Answer phone calls, schedule appointments, and direct inquiries to the appropriate team members.
• Address patient concerns, complaints, and inquiries with professionalism and efficiency.
• Provide financial counseling to patients, explaining insurance coverage, sliding fees, and payment options.
• Scan, organize, and label documents, including medical histories, registration forms, insurance cards, paystubs, and treatment plans.
• Ensure compliance with SCHC money handling policies, collecting and applying payments accurately.
• Manage the scheduling for all patients and walk-ins, following up on missed or no-show appointments.
• Keep patients and visitors informed of wait times.
• Answer calls professionally, record accurate messages, and respond promptly.
• Follow up on missed appointments and accommodate same-day requests when possible.
• Submit insurance claims, referrals, and pre-authorizations as needed.
• Maintain a clean, organized, and welcoming front office and waiting area.
• Process and file insurance and billing documents with attention to detail.
• Assist with administrative tasks such as sorting mail and preparing reports.
• Coordinate with the office team to ensure smooth patient flow.
• Assist in preparing daily deposits and handling money accurately.
• Participate in team meetings and training sessions to enhance skills and performance.
• Perform additional tasks as needed to support the centers.

Required Skills/Abilities:

• Excellent verbal and written communication skills.
• Excellent interpersonal and customer service skills.
• Excellent organizational skills and attention to detail.
• Excellent time management skills with a proven ability to meet deadlines.
• Strong analytical and problem-solving skills.
• Ability to prioritize tasks and to delegate them when appropriate.
• Ability to function well in a high-paced and at times stressful environment.
• Ability to use office equipment, including computers, copy machines, fax machines, telephones, calculators, and more.
• Proficient with Microsoft Office Suite, software, EMR or related software.

Education and Experience:

• High School Diploma or equivalent is required.

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.
• Must be able to travel to various center locations as required.