Patient Reception Rep - FT - Day - Specialty Practice Lower Makefield PA

Capital Health (US)•Newtown, PA

8d•$17 - $21•Onsite

About The Position

Capital Health is seeking a full-time Patient Reception Representative for its Specialty Practice in Lower Makefield, PA. This role is crucial for providing progressive, quality patient care within the Capital Health Medical Group. The representative will be responsible for managing patient interactions, scheduling, registration, and administrative tasks to ensure a smooth and welcoming patient experience. 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

Answers telephones promptly and courteously, while handling multiple phone lines.
Routes patient calls efficiently and appropriately to the appropriate area/individual.
Schedules and cancels appointments using established office guidelines.
Schedules patients for outpatient tests and surgeries according to CH policy.
Prepares for the day by reviewing eligibility and phone reports, and carrying 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 patients of privacy policies and procedures.
Informs patients of delays in physician schedules and 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.
Ensures all requirements and fields noted on check-in and check-out pages are satisfied and complete.
Obtains copies of insurance cards, driver's license, authorizations, and referrals; scans or enters into the 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 the system.
Accepts accountability for all Worklists/Boxes on the dashboard or elsewhere based on assignment.
Confirms charges / approves claim creations in the 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 the 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 the end of the day.
Turns over batches to the 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.