Patient Reception Rep - FT - Day - Primary Care Quakerbridge NJ

Capital Health (US)•West Windsor, NJ

1d•$17 - $21

About The Position

Capital Health Medical Group is seeking a full-time Patient Reception Representative for its Primary Care practice in Quakerbridge, New Jersey. The position provides front-desk and clerical support, including welcoming patients, managing calls and appointments, completing registration, processing payments, and coordinating referrals and pre-authorizations. The representative also reviews and manages assigned system worklists, supports claim processing and daily financial reconciliation, and follows applicable privacy, patient-rights, and departmental procedures. The role may be assigned to other Capital Health Medical Group practices as needed. The position is scheduled for 40 hours per week, with an 8-hour usual workday. The listed pay range is $17.00–$20.85. Eligible benefits include medical, prescription, dental and vision coverage; flexible spending accounts; retirement savings; life and disability insurance; an employee assistance program; commuter benefits; voluntary insurance and legal services; and paid time off.

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 is preferred.

Responsibilities

Answer telephones promptly and courteously, manage multiple phone lines, and route patient calls appropriately.
Schedule and cancel appointments according to office guidelines, and schedule outpatient tests and surgeries according to Capital Health policy.
Prepare for the workday by reviewing eligibility and phone reports, completing assigned tasks, and preparing new-patient charts or paperwork.
Greet patients and visitors professionally; explain privacy procedures; communicate physician delays and help maintain patient comfort while they wait.
Register patients and ensure demographic and insurance information is accurate and complete; comply with procedures and regulatory guidelines for HIPAA, Advance Beneficiary Notice, Advance Directives, and Patients Rights.
Ensure all required check-in and check-out fields are complete.
Obtain copies of insurance cards, driver's licenses, authorizations, and referrals, and scan or enter them into the system.
Collect co-payments, outstanding balances, and applicable time-of-service or estimated balances; refer patients to CBO staff for past-due balance questions or resolution.
Review Patient Account Notes and Appointment Notes, and take accountability for 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 assigned worklists and boxes.
Complete referrals and pre-authorizations as required.
Create and link daily time-of-service and deposit batches; reconcile, balance, and close each batch or drawer at day-end, 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.