Call Room Representative - FT - Day - OB/GYN Langhorne PA

Capital Health (US)•Bordentown, NJ

1d•$17 - $21

About The Position

The Call Room Representative answers and routes patient calls, schedules and cancels appointments, and schedules outpatient tests and surgeries according to office guidelines. The role prepares for the day by reviewing eligibility and phone reports, preparing new-patient charts and paperwork, and completing assigned tasks. It welcomes patients and visitors, communicates privacy policies and physician delays, and supports patient comfort while they wait. The representative performs patient registration and verifies demographic and insurance information. The position follows applicable department procedures and regulatory requirements, including HIPAA, Advance Beneficiary Notice, Advance Directives, and Patients Rights. It obtains and records insurance cards, identification, authorizations, and referrals; collects payments; and directs patients to Central Business Office staff for past-due account questions or resolution. The role also reviews account and appointment notes, manages assigned worklists, confirms charges and approves claim creation, submits claims for real-time adjudication, and completes daily review and hold-claim worklists. It schedules follow-up appointments, completes referrals and pre-authorizations, and creates, links, reconciles, balances, closes, and turns over daily time-of-service and deposit batches. Additional clerical duties include processing mail, confirming appointments, sending follow-up notices, and maintaining statistics. Other duties may be assigned, including work at other Capital Health Medical Group practices as needed.

Requirements

High school diploma or equivalent.
One year of experience as a receptionist or clerk in a healthcare environment, or one year of customer service experience.
Familiarity with medical terminology, ICD-10, and CPT codes.
Excellent communication and interpersonal skills.
Proficient computer skills and basic Microsoft Office skills.
Familiarity with Excel spreadsheets.

Nice To Haves

Medical assistant or medical office technician certification.

Responsibilities

Answer telephones promptly and courteously while handling multiple phone lines, and route patient calls to the appropriate area or individual.
Schedule and cancel appointments, and schedule outpatient tests and surgeries according to established guidelines.
Review eligibility and phone reports, complete assigned daily tasks, and prepare new-patient charts or paperwork.
Greet patients and visitors professionally, inform patients about privacy policies and procedures, and communicate physician schedule delays while assisting with patient comfort.
Register patients and ensure demographic and insurance information is accurate and complete.
Follow department procedures and regulatory guidelines for HIPAA, Advance Beneficiary Notice, Advance Directives, and Patients Rights; ensure check-in and check-out fields are complete.
Obtain and scan or enter insurance cards, driver's licenses, authorizations, and referrals.
Collect co-payments, outstanding balances, and applicable check-out balances according to policy; refer past-due balance questions and resolution requests to CBO staff.
Review Patient Account Notes and Appointment Notes and take accountability for assigned dashboard and other worklists or boxes.
Confirm charges and approve claim creation at check-out; validate and submit claims for real-time adjudication; work daily review reports and designated hold-claim worklists.
Schedule follow-up appointments, create appointment ticklers, and work related assigned lists and boxes.
Complete referrals and pre-authorizations as required.
Create and link time-of-service and deposit batches, reconcile, balance, and close batches or drawers at the end of the day, and turn over batches to the designated resource.
Perform clerical duties such as processing mail, confirming appointments, sending follow-up notices, and maintaining statistics.
Perform other assigned duties and work at other Capital Health Medical Group practices as needed.