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

Capital Health (US)•Hamilton, OH

10d•$17 - $21

About The Position

Capital Health Medical Group seeks a Patient Reception Representative for its primary care practice in Hamilton, New Jersey. The representative provides front-desk and clerical support, including answering and routing calls, scheduling appointments and tests, greeting patients, and preparing charts and paperwork. The role also handles patient registration, verifies demographic and insurance information, collects payments, completes referrals and pre-authorizations, and processes claims and daily financial batches in accordance with office procedures and regulatory requirements. The position is scheduled for 40 hours per week, with an usual workday of eight hours. The listed pay range is $17.00–$20.85. The role 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 multiple telephone lines promptly and courteously, and route patient calls appropriately.
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, completing assigned tasks, and preparing new patient charts or paperwork.
Greet patients and visitors professionally, explain privacy policies and procedures, communicate physician schedule delays, and assist patients while they wait.
Register patients and ensure demographic and insurance information is accurate and complete.
Comply with procedures and regulatory guidelines for HIPAA, Advance Beneficiary Notice, Advance Directives, and Patients Rights; ensure check-in and check-out fields are complete.
Obtain and scan or enter insurance cards, driver's licenses, authorizations, and referrals 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 dashboard worklists and boxes.
Confirm charges and approve claim creation at check-out; validate and submit claims for real-time adjudication; complete the Day End Review report and assigned Tier-based HOLD Claim Worklists daily.
Schedule follow-up appointments, create appointment ticklers, and work associated worklists and boxes 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 or drawer at day's end; 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 assigned duties and work at other Capital Health Medical Group practices as needed.