Patient Reception Rep - FT - Day - CMG Call Center Newtown PA

Capital Health (US)•Newtown, OH

1d•$17 - $21•Onsite

About The Position

Capital Health is seeking a Patient Reception Representative for their FT Day CMG Call Center in Newtown, PA. This role is crucial for providing quality patient care by managing patient interactions, scheduling appointments, and ensuring accurate record-keeping. 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.
Proficient computer skills.
Basic Microsoft Office skills.
Familiarity with Excel spreadsheets.

Nice To Haves

Familiarity with medical terminology, ICD-10 and CPT codes.
Excellent communication and interpersonal skills.
Medical assistant or medical office technician certification preferred.

Responsibilities

Answer telephones promptly and courteously, while handling multiple phone lines.
Route patient calls efficiently and appropriately to the correct area or individual.
Schedule and cancel appointments using established office guidelines.
Schedule patients for outpatient tests and surgeries according to CH policy.
Prepare for the day by reviewing eligibility and phone reports, and carrying out tasks accordingly.
Prepare new patient charts and/or paperwork at patient presentation.
Greet all patients and visitors in a professional and welcoming manner.
Inform patients of privacy policies and procedures.
Inform patients of delays in physician schedules and assist with patient comfort while delayed.
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 noted on check-in and check-out pages are satisfied and complete.
Obtain copies of insurance cards, driver's license, authorizations, and referrals; scan or enter into the system.
Collect co-payments and outstanding balances at check-in, and time of service balances and estimated balances at check-out according to policy.
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 / 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 on a daily basis.
Schedule follow-up appointments, create appointment ticklers in the system, and work associated Worklists/boxes relative to both based on assignment.
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, but not limited to processing mail, confirming appointments, sending out follow-up notices, and maintaining statistics.
Perform other duties as assigned and may be assigned to other Capital Health Medical Group Practices as needed.