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

Capital Health (US)•Robbinsville, NC

3d•$17 - $21

About The Position

Capital Health Medical Group is seeking a Patient Reception Rep for its Primary Care practice in Robbinsville, New Jersey. The position provides front-desk and clerical support, including answering and routing calls, scheduling appointments and procedures, preparing charts and paperwork, welcoming patients, and completing patient registration. The representative verifies demographic and insurance information, follows privacy and regulatory procedures, collects payments, supports claims and worklist processing, completes referrals and pre-authorizations, and reconciles daily payment batches. Other duties may be assigned, including work at other Capital Health Medical Group practices as needed. The role is scheduled for 40 hours per week, with an eight-hour usual workday.

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.
Prepare for the day by reviewing eligibility and phone reports and completing related tasks; prepare new-patient charts and 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, and ensure check-in and check-out requirements are complete.
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 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 in the system, and take accountability for assigned worklists and dashboard boxes.
Confirm charges and approve claim creation 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, and work related assigned worklists and 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 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.