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

Capital Health (US)

5d•Onsite

About The Position

Capital Health is seeking a full-time Patient Reception Representative for its Primary Care practice in Quakerbridge, NJ. This role is crucial for providing excellent patient care and administrative support within a dynamic healthcare environment. The position involves managing patient interactions, scheduling appointments, processing registrations, handling inquiries, and ensuring accurate record-keeping and financial transactions. Capital Health is committed to attracting top talent and offers competitive compensation and benefits.

Requirements

High school diploma or equivalent.
One year experience as a receptionist or clerk in a 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

Answer telephones promptly and courteously, handling multiple phone lines and routing calls appropriately.
Schedule and cancel appointments according to office guidelines and Capital Health policy.
Schedule patients for outpatient tests and surgeries.
Prepare for the day by reviewing eligibility and phone reports.
Prepare new patient charts and paperwork.
Greet patients and visitors professionally and welcomingly.
Inform patients of privacy policies and procedures and of any delays in physician schedules.
Assist with patient comfort during delays.
Perform registration to ensure demographic and insurance information is accurate and complete.
Comply with department procedures and regulatory guidelines for HIPAA, Advance Beneficiary Notice, Advance Directives, and Patients Rights.
Ensure all requirements and fields on check-in and check-out pages are satisfied and complete.
Obtain copies of insurance cards, driver's licenses, authorizations, and referrals, and enter them into the system.
Collect co-payments and outstanding balances at check-in, and time of service and estimated balances at check-out.
Refer patients to CBO staff regarding past due balances, questions, and/or resolution.
Review and comply with Patient Account Notes and Appointment Notes in the system.
Accept accountability for all Worklists/Boxes on the dashboard or elsewhere based on assignment.
Confirm charges and approve claim creations in the system at Check-Out.
Validate and submit appropriate 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 in the system, and work associated Worklists/boxes.
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/drawer at the end of the day.
Turn over batches to the designated resource daily.
Perform clerical duties including processing mail, confirming appointments, sending follow-up notices, and maintaining statistics.
Perform other duties as assigned and may be assigned to other Capital Health Medical Group Practices as needed.