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

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses, and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

Pay Range

$17.00 - $20.85

Scheduled Weekly Hours

40

Position Overview

• 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, reviews eligibility and phone reports, and carries 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, 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 as measured by Q/A and observation. Ensures all requirements and fields noted on check-in and check-out page are satisfied and complete.
• Obtains copies of insurance cards, driver's license, authorizations, and referrals; cans 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.