Patient Reception Rep - FT - Day - CMG Call Center Newtown PA

Capital Health (US) • Newtown, OH

9d • $17 - $21 • Onsite

About The Position

Capital Health is seeking a Patient Reception Rep for their FT Day CMG Call Center in Newtown, PA. This role involves answering telephones, routing calls, scheduling appointments, preparing patient charts, greeting patients, performing registrations, collecting co-payments, and performing various clerical duties. The position requires accuracy in demographic and insurance information, compliance with HIPAA and other regulatory guidelines, and efficient handling of patient accounts and claims. The representative will also be responsible for reconciling financial batches and performing other assigned duties.

Requirements

• High School diploma or equivalent.
• One year experience as receptionist or clerk in healthcare environment or one year customer service experience.
• Familiarity with medical terminology, ICD-10 and CPT codes.
• Excellent communication and interpersonal skills.
• Proficient computer skills; basic Microsoft office skills.
• Familiarity with excel spreadsheets.

Nice To Haves

• Medical assistant or medical office technician certification preferred.

Responsibilities

• Answers telephones promptly and courteously, while handling multiple phone lines.
• Routes patient calls efficiently and appropriately to appropriate area/individual.
• Schedules and cancels appointments using established office guidelines; Schedules patients for outpatient tests and surgeries according to CH policy.
• Prepares for day, reviews eligibility and phone reports, and carries out tasks accordingly; prepares new patient charts and/or paperwork at patient presentation.
• Greets all patients and visitors in a professional and welcoming manner.
• Informs patient of privacy policies and procedures; Informs patients of delays in physician schedules, assists with patient comfort while delayed.
• Performs registration to ensure demographic and insurance information is accurate and complete.
• Complies with department procedures and regulatory guidelines for HIPAA, Advance Beneficiary Notice, Advance Directives, and Patients Rights as measured by Q/A and observation.
• Ensures all requirements and fields noted on check-in and check-out page are satisfied and complete.
• Obtains copies of insurance cards, driver's license, authorizations, and referrals; scans or enters into system.
• Collects co-payments and outstanding balances at check-in, and time of service balances and estimated balances at check-out according to policy.
• Refers patients to CBO staff regarding past due balances, questions and/or resolution.
• Reviews and complies with Patient Account Notes and Appointment Notes in system; Accepts accountability for all Worklists/Boxes on dashboard or elsewhere based on assignment.
• Confirms charges / approves claim creations in system at Check-Out; Validates and submits appropriate claims for real time adjudication; Works “Day End Review” report and designated Tier-based HOLD Claim Worklists on a daily basis.
• Schedules follow-up appointments, creates appointment ticklers in system, and works associated Worklists/boxes relative to both based on assignment.
• Completes referrals and pre-authorizations as required.
• Creates a Time of Service batch and links it to a deposit batch daily; Reconciles, balances, and closes each batch /drawer at end of day; Turns over batches to designated resource daily.
• Performs clerical duties including, but not limited to processing mail, confirming appointments, sending out follow-up notices, and maintaining statistics.
• Performs other duties as assigned and may be assigned to other Capital Health Medical Group Practices as needed.

Benefits

• Medical Plan
• Prescription drug coverage & In-House Employee Pharmacy
• Dental Plan
• Vision Plan
• Flexible Spending Account (FSA) - Healthcare FSA, Dependent Care FSA
• Retirement Savings and Investment Plan
• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
• Disability Benefits – Long Term Disability (LTD)
• Disability Benefits – Short Term Disability (STD)
• Employee Assistance Program
• Commuter Transit
• Commuter Parking
• Supplemental Life Insurance - Voluntary Life Spouse, Voluntary Life Employee, Voluntary Life Child
• Voluntary Legal Services
• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
• Voluntary Identity Theft Insurance
• Voluntary Pet Insurance
• Paid Time-Off Program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED