MedFrontDesk Playbook

Billing Question Containment

Keep financial calls organized. Katie explains statements, captures disputes, and routes high-value concerns to the RCM team.

When to run this playbook

Billing questions interrupt schedulers.

Patients need context about statements.

RCM teams see incomplete notes.

Caller journey (high-level)

01

Statement lookup

Katie verifies patient + encounter, then references billing SOPs.

02

Self-serve guidance

Patients can pay, set up plans, or request itemized statements without waiting.

03

Escalation

Disputes or complex payer issues go to RCM with transcript + categorization.

Triage categories & actions

CategoryExample callsNotificationTarget callbackCaller messaging
EmergencyChest pain, stroke, trauma.911 / ERImmediateCall 911 or go to the ER now.
Urgent clinicalWorsening postop pain, severe symptoms.On-call provider< 15 minProvider calls back within 15 minutes.
Routine clinicalRefills, mild symptoms, referrals.Daytime teamNext business dayCare team follows up on the next business day.
Non-clinical / adminScheduling, billing, paperwork.Admin queueNext business dayFront desk follows up when the office reopens.