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.
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.
The listed minimum pay reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).
Minimum Pay:
$17.00
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
MINIMUM REQUIREMENTS
- 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
PHYSICAL DEMANDS AND WORK ENVIRONMENT
- 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 to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.
"Company will never ask candidates for social security numbers or date of birth during application phase. If you are asked for this information online, you may be a target for identity theft."
For benefit eligible roles, in addition to cash compensation, we provide a comprehensive and highly competitive benefits package, with a variety of physical health, retirement and savings, caregiving, emotional wellbeing, transportation, robust PTO plan, overtime to eligible roles, and other benefits, including "elective" benefits employees may select to best fit the needs and personal situations of our diverse workforce.
The pay rate 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. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level.
The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.