Medical Biller - Front Loader

Position Title:             Front Loader - Biller
Department:                Medical Billing          
Position reports to:   Revenue Cycle Director

Position Summary:

The Front-Loading Specialist is responsible for ensuring efficient and accurate loading of patient registration information into the Electronic Health Record (EMR) system prior to the patient’s scheduled appointment. This role requires meticulous attention to detail and strong organizational skills. A strong understanding of California FQHC billing practices is preferred, along with proficiency in registration and billing functions within systems such as OCHIN and Epic. The specialist will work closely with operations, billing, EHR Support Analysts, and other administrative professionals to streamline workflow and enhance patient care delivery.

Responsibilities:

Data Entry and Management:

• Review the Department Appointment Report for Front-Loading, noting what needs to be updated for the patient’s upcoming appointment.
• Accurately review and/or update patient demographic information.
• Verify assigned Guarantor.
• Verify Coverage/Subscriber for accuracy.
• Verify RTE, make corrections if necessary.
• Review Federal Poverty Level for completion.
• Ensure all patient data is up-to-date and correctly formatted in accordance with organizational standards.
• Productivity and goals: 25-30 charts per hour
• Contact the patient to complete the registration workflow:
• Ask the patient to verify or provide demographics and patient-level information.
• Ask the patient to verify or provide Guarantor information.
• Verify or complete the FPL with the patient; advising of patient needed items.
• Ask the patient to provide or verify insurance information.
• Advise the patient on documents required at check-in.
• Inform patients of co-pay or out-of-pocket costs.
• Collect for previous balances.

Coordination and Communication:

• Create a patient message detailing items needing correction at the time of check-in.
• Collaborate with clinical and administrative staff to gather necessary patient information and update records as needed.
• Communicate effectively with team members to resolve any data discrepancies or issues promptly.

Quality Assurance:

• Communicate with front office Manager/supervisor for errors in registration
• Regularly audit entered data to ensure accuracy and completeness.
• Identify and correct any errors or inconsistencies in the patient records.

System Maintenance and Support:

• Provide front-line support for Epic-related issues, escalating complex problems to Billing supervisor.

Training and Development:

• Assist in training new staff on the proper use of the OCHIN Epic system and front-loading procedures.

Documentation and Reporting:

• Maintain accurate records of data entry activities and patient information updates.
• Generate regular reports on front-loading performance and identify areas for improvement.
• Perform additional duties and responsibilities as assigned by management. 

Qualifications/Requirements:

• High School Diploma or equivalent required; Associate’s or Bachelor’s degree in a related field preferred.
• Previous experience in medical billing or Medical Front office running eligibilities for all payers, Medi-Cal, Medicare, commercial plans.
• Proficiency with Epic systems, specifically Prelude and Resolute modules, is highly desirable.
• Exceptional attention to detail and organizational skills.
• Strong communication skills, both written and verbal.
• Ability to work independently and as part of a team.
• Proficiency in Microsoft Office Suite (Word, Excel, Outlook).