Patient Reception Representative - FT - Day - OB/GYN Lawrenceville

Work Shift:
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 advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.
Position Overview:
As a Patient Reception Representative you will:

• Answer telephones handling multiple phone lines. Route patient calls to appropriate area/individual.
• Schedule and cancel's appointments; Schedule patients for outpatient tests and surgeries.
• Prepare for day, reviews eligibility and phone reports, prepares new patient charts and/or paperwork at patient presentation.
• Greet patients and visitors Informs patient of privacy policies and procedures; Informs patients of delay's in physician schedules.
• 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.
• Obtain copies of insurance cards, driver's license, authorizations, and referrals; enters into system.
• Collect co-payments and outstanding balances at check-in, and time of service balances and estimated balances at check-out.
• Refer patients to Central Billing Office staff regarding past due balances, questions and/or resolution.
• Review and comply with patient account notes and appointment Notes in system.
• Confirm charges / approves claim creations in system at Check-Out; Validates and submits claims for real time adjudication; Work "Day End Review" report and designated Tier-based HOLD Claim Worklists on a daily basis.
• Schedule follow-up appointments, creates appointment ticklers in system, and works associated Worklists/boxes relative to both based on assignment.
• Complete referrals and pre-authorizations as required.
• Create a Time of Service batch and links it to a deposit batch daily; Reconciles, balances, and closes each batch /drawer at end of day; Turns over batches to 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

• High School Diploma or GED required
• One year experience as receptionist or clerk in healthcare environment or one year customer service experience
• Knowledge with medical terminology, ICD-10 and CPT codes
• Excellent communication and interpersonal skills
• Medical assistant or medical office technician certification preferred
• Proficient computer skills; basic Microsoft office skills. Familiarity with excel spreadsheets
• Frequent physical demands include: Sitting
• Occasional physical demands include: Standing, Walking, Climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl, Wrist position deviation, Pinching/fine motor activities, Keyboard use/repetitive motion
• Continuous physical demands include: Talk or Hear, Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs

Offers are contingent upon successful completion of our onboarding process and pre-employment physical. Capital Health will require all applicants (including contractors, travelers and consultants) to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.
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