Patient Reception Rep - FT - Day - Hematology Oncology Specialists Trenton NJ

Capital Health (US)•Trenton, NJ

7d•$17 - $21

About The Position

The Patient Reception Rep supports Hematology Oncology Specialists by providing patient reception, scheduling, registration, billing-related, and clerical services. The role answers and routes calls, schedules or cancels appointments and outpatient tests or surgeries, prepares patient charts and paperwork, and welcomes patients and visitors. It ensures demographic, insurance, and required check-in/check-out information is complete and follows applicable privacy, regulatory, and department procedures. The position collects payments, supports claims processing and real-time adjudication, completes referrals and pre-authorizations, and manages assigned worklists, appointment ticklers, and daily time-of-service and deposit batches. It also performs clerical tasks such as processing mail, confirming appointments, sending follow-up notices, and maintaining statistics. The employee may be assigned to other Capital Health Medical Group practices as needed.

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 preferred.

Responsibilities

Answer telephones promptly and courteously while handling multiple phone lines; route patient calls to the appropriate area or person.
Schedule and cancel appointments according to office guidelines, and schedule patients for 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, insurance, check-in, and check-out information is accurate and complete; comply with procedures and regulatory requirements for HIPAA, Advance Beneficiary Notice, Advance Directives, and Patients Rights.
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, and take accountability for assigned worklists and dashboard boxes.
Confirm charges and approve claim creations 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 daily.
Perform clerical duties, including processing mail, confirming appointments, sending follow-up notices, and maintaining statistics.
Perform other duties as assigned and work at other Capital Health Medical Group practices as needed.