Patient Reception Rep - FT - Day - Primary Care New Hope PA
About The Position
Capital Health is hiring a Patient Reception Rep for its Primary Care practice in New Hope, Pennsylvania. The role provides front-desk and administrative support, including answering and routing calls, scheduling appointments and tests, greeting patients, preparing charts and paperwork, and completing patient registration. The representative verifies patient, insurance, authorization, and referral information; follows applicable privacy and regulatory procedures; collects payments; and supports claim processing, referrals, pre-authorizations, and follow-up scheduling. The position also includes reconciling daily payment batches, maintaining worklists, and performing general clerical duties. The employee may be assigned to 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 multiple telephone lines promptly and courteously and route patient calls to the appropriate area or individual.
- Schedule and cancel appointments according to office guidelines, and schedule outpatient tests and surgeries according to Capital Health policy.
- Review eligibility and phone reports, prepare for the day, and prepare new patient charts or paperwork when patients arrive.
- Greet patients and visitors professionally, explain privacy procedures, and inform patients of physician delays while assisting with their 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; complete required check-in and check-out fields.
- Obtain copies of insurance cards, driver's licenses, authorizations, and referrals, and scan or enter them into the system.
- Collect co-payments and outstanding balances at check-in, and collect time-of-service and estimated balances at check-out according to policy.
- Refer patients to CBO staff regarding past-due balances, questions, or resolution.
- Review and comply with Patient Account Notes and Appointment Notes, and manage assigned worklists and dashboard boxes.
- Confirm charges and approve claim creation at check-out; validate and submit claims for real-time adjudication; work the Day End Review report and designated Tier-based HOLD Claim Worklists daily.
- Schedule follow-up appointments, create appointment ticklers, and work associated lists and boxes as assigned.
- Complete referrals and pre-authorizations as required.
- Create a Time of Service batch and link it to a deposit batch daily; reconcile, balance, and close each batch or drawer 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.
Benefits
- Medical plan.
- Prescription drug coverage and in-house employee pharmacy.
- Dental plan.
- Vision plan.
- Flexible Spending Account, including healthcare and dependent care FSAs.
- Retirement Savings and Investment Plan.
- Basic group term life and Accidental Death & Dismemberment insurance.
- Supplemental group term life and Accidental Death & Dismemberment insurance.
- Long-term disability benefits.
- Short-term disability benefits.
- Employee Assistance Program.
- Commuter transit and parking benefits.
- Voluntary life insurance for employees, spouses, and children.
- Voluntary legal services.
- Voluntary accident, critical illness, and hospital indemnity insurance.
- Voluntary identity theft insurance.
- Voluntary pet insurance.
- Paid Time-Off Program.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
