Patient Reception Rep - FT - Day - Ambulatory Care/Clinic Trenton NJ

Capital Health (US)•Wilmore, KY

3d•$17 - $21

About The Position

Capital Health Medical Group is seeking a Patient Reception Rep to support patient-facing and administrative operations in an ambulatory care or clinic setting. The role answers and routes calls, schedules appointments and outpatient services, prepares charts and paperwork, welcomes patients and visitors, and completes patient registration. It also supports insurance and authorization documentation, point-of-service collections, claim processing, follow-up scheduling, referrals, daily financial batch reconciliation, and general clerical tasks. 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.

Responsibilities

Answer telephone calls promptly and courteously, manage multiple phone lines, and route patient calls efficiently.
Schedule and cancel appointments according to office guidelines, including outpatient tests and surgeries in accordance with Capital Health policy.
Review eligibility and phone reports, carry out related tasks, and prepare 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 department procedures and regulatory requirements for HIPAA, Advance Beneficiary Notice, Advance Directives, and Patients Rights.
Ensure all required check-in and check-out fields are completed.
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 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 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 and link a Time of Service batch 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 assigned duties and work at other Capital Health Medical Group practices as needed.