Patient Reception Rep - FT - Day - Primary Care Family Residency Trenton NJ

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

About the role

Answers telephones promptly and courteously while handling multiple phone lines. Routes patient calls efficiently and appropriately to the correct area or individual. Schedules and cancels appointments using established office guidelines; schedules patients for outpatient tests and surgeries according to Capital Health policy. Prepares for the day by reviewing eligibility and phone reports and carrying 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; notifies patients of delays in physician schedules and 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 pages are satisfied and complete.

Obtains copies of insurance cards, driver's licenses, authorizations, and referrals; scans 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 Central Business Office (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 and approves claim creations in the system at check-out; validates and submits appropriate claims for real-time adjudication. Works the "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.

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.
• Medical assistant or medical office technician certification preferred.
• Proficient computer skills; basic Microsoft Office skills. Familiarity with Excel spreadsheets.

Physical Demands and Work Environment

• Frequent physical demands: Sitting, talking, or hearing.
• Occasional physical demands: Standing, walking, climbing (e.g., stairs or ladders), carrying objects, pushing/pulling, twisting, bending, reaching forward, reaching overhead, squatting/kneeling/crawling, wrist position deviation, pinching/fine motor activities, keyboard use/repetitive motion.
• Lifting: Floor to waist: 15 lbs. Waist level and above: 10 lbs.
• Sensory requirements: Accurate near vision, accurate far vision, moderate depth perception, accurate hearing.
• Anticipated occupational exposure risks: Bloodborne pathogens, chemicals, airborne communicable diseases, dust/particulate matter.

Pay

The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The range for this full-time equivalent (1.0 FTE) position is $17.00 - $20.85 per hour. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Schedule

• Scheduled weekly hours: 40
• Usual work day: 8 hours

Benefits

• Medical Plan
• Prescription drug coverage & In-House Employee Pharmacy
• Dental Plan
• Vision Plan
• Flexible Spending Account (FSA)
• Healthcare FSA
• Dependent Care FSA
• Retirement Savings and Investment Plan
• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
• Disability Benefits – Long Term Disability (LTD)
• Disability Benefits – Short Term Disability (STD)
• Employee Assistance Program
• Commuter Transit
• Commuter Parking
• Supplemental Life Insurance
• Voluntary Life Spouse
• Voluntary Life Employee
• Voluntary Life Child
• Voluntary Legal Services
• Voluntary Accident, Critical Illness, and Hospital Indemnity Insurance
• Voluntary Identity Theft Insurance
• Voluntary Pet Insurance
• Paid Time-Off Program