Patient Reception Rep Specialty Practice Newtown PA

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

Apply for the Patient Reception Rep role at Capital Health (US).

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 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.

$17.00 - $24.70 per hour.

40 hours per week.

• Answers telephones promptly and courteously while handling multiple phone lines. Routes patient calls efficiently to the appropriate area or individual.
• Schedules and cancels appointments using established office guidelines; schedules patients for outpatient tests and surgeries according to CH policy.
• Prepares for day, reviews eligibility and phone reports, and carries out tasks accordingly; prepares new patient charts and paperwork at patient presentation.
• Greets all patients and visitors professionally. Informs patients of privacy policies and procedures; informs 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.
• Obtains copies of insurance cards, driver's licenses, authorizations, and referrals; cancels or enters into 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 resolution.
• Reviews and complies with Patient Account Notes and Appointment Notes in system; accepts accountability for all worklists/boxes on dashboard or elsewhere based on assignment.
• Confirms charges and approves claim creations in 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 daily.
• Schedules follow‑up appointments, creates appointment ticklers in system, and works associated worklists/boxes 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 end of day; turns over batches to designated resource daily.
• Performs clerical duties including 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.

• Education:
  
  High School diploma or equivalent.
• Experience:
  
  One year as a receptionist or clerk in a healthcare environment or one year of customer service experience.
• Knowledge and
  
  Skills:
  
  Familiarity with medical terminology, ICD‑10 and CPT codes. Excellent communication and interpersonal skills. Medical assistant or medical office technician certification preferred.
• Special Training:
  Proficient computer skills; basic Microsoft Office; familiarity with Excel spreadsheets.
• Usual Work Day: 8 hours.

• Frequent physical demands:
  Sitting.
• Occasional physical demands:
  Standing, walking, climbing, carrying objects, pushing/pulling, twisting, bending, reaching forward, reaching overhead, squatting/kneeling/crawling, wrist position deviation, pinching/fine motor activities, keyboard use/repetitive motion.
• Continuous physical demands:
  Talking or hearing.
• Lifting limits:
  Floor to waist 15 lbs; waist…