Patient Reception Rep - FT - Day - Specialty Practice Newtown PA

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in exceptional physicians, nurses, staff, and advanced technology. Accredited by the DNV, Capital Health includes two hospitals, an outpatient center, a satellite emergency department, and an expansive network of primary and specialty care. Capital Health Medical Group comprises over 600 physicians and providers offering care throughout the region.

The listed pay range reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ based on assigned hours and position status (e.g., part-time).

Responsibilities

• Answer telephones promptly and courteously, handling multiple phone lines.
• Route patient calls efficiently to the appropriate area or individual.
• Schedule and cancel appointments using established office guidelines; schedule patients for outpatient tests and surgeries according to Capital Health policy.
• Prepare for the day by reviewing eligibility and phone reports; prepare new patient charts and paperwork.
• Greet all patients and visitors professionally and welcomingly.
• Inform patients of privacy policies and procedures; notify patients of delays in physician schedules and assist with patient comfort during delays.
• 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.
• Ensure all requirements and fields on check-in and check-out pages are satisfied and complete.
• Obtain copies of insurance cards, driver’s licenses, authorizations, and referrals; scan or enter into the system.
• Collect co-payments and outstanding balances at check-in, and time-of-service or estimated balances at check-out according to policy.
• Refer patients to Central Business Office (CBO) staff regarding past-due balances, questions, or resolution.
• Review and comply with Patient Account Notes and Appointment Notes in the system; accept accountability for all Worklists/Boxes on the dashboard or elsewhere based on assignment.
• Confirm charges and approve claim creations in the system at check-out; validate and submit appropriate claims for real-time adjudication.
• Work the “Day End Review” report and designated Tier-based HOLD Claim Worklists daily.
• Schedule follow-up appointments, create appointment ticklers in the system, and work associated Worklists/boxes.
• 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/drawer at the end of the day; 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 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, including 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

Pay Range: $17.00 - $20.85 per hour.

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 and 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) and Short Term Disability (STD)
• Employee Assistance Program
• Commuter Transit and Parking
• Supplemental Life Insurance: Voluntary Life Spouse, 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