Patient Reception Rep - FT - Day - CMG Call Center

Capital Health (US); Newtown (CT); On-site; USD 23,000 - 29,000; Full time

Benefits offered by this job

Medical Plan

Prescription drug coverage

Dental Plan

Vision Plan

FSA

Healthcare FSA

Dependent Care FSA

Retirement Savings and Investment Plan

Life Insurance

AD&D Insurance

Disability Benefits – LTD/STD

Employee Assistance Program

Commuter Transit

Commuter Parking

Paid Time Off

Job summary

Capital Health is seeking a friendly and organized receptionist to support our patient services team. This full-time role handles multi-line phone duties, schedules appointments, verifies insurance and demographics, and assists patients with check-in/out, payments, and referrals.

Ideal candidates have a High School diploma and at least one year in a healthcare front desk or customer service role, with solid computer skills and HIPAA awareness.

Qualifications

• Education: High School diploma or equivalent.
• Experience: One year as receptionist or clerk in healthcare or one year customer service.
• Knowledge: Medical terminology, ICD-10 and CPT codes; excellent communication.
• Training: Proficient computer skills; basic Microsoft Office; familiarity with Excel.

Responsibilities

• Answers telephones promptly and courteously, routing calls to appropriate area.
• Schedules and cancels appointments using office guidelines; arranges outpatient tests and surgeries.
• Prepares for day, reviews eligibility and patient charts; handles intake paperwork.
• Greets patients and visitors; explains privacy policies and delays; assists with comfort.
• Registers patients to ensure accurate demographics and insurance information.
• Collects co-pays and balances; directs questions to billing staff as needed.
• Reviews notes in the system and updates worklists and reports daily.
• Verifies charges and submits claims for real-time adjudication; performs day-end review.
• Schedules follow-ups and creates reminders; completes referrals and pre-authorizations.

Skills

Communication

Interpersonal skills

HIPAA compliance

Education

High School diploma or equivalent

Job description

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 dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than600 physicians and other providerswho 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 pay range or pay rate reflects compensationfor afull-time equivalent (1.0 FTE)position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Pay Range:

$17.00 - $20.85

Scheduled Weekly Hours:

40

Position Overview

• Answers telephones promptly and courteously, while handling multiple phone lines. Routes patient calls efficiently and appropriately to appropriate area/individual.
• Schedules and cancel’s 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/or paperwork at patient presentation.
• Greets all patients and visitors in a professional and welcoming manner. Informs patient of privacy policies and procedures; Informs patients of delay’s in physician schedules, 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 page are satisfied and complete.
• Obtains copies of insurance cards, driver’s license, authorizations, and referrals; cans 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.
• Refs patients to CBO staff regarding past due balances, questions and/or 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 / 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 on a daily basis.
• Schedules follow-up appointments, creates appointment ticklers in 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 end of day; Turns over batches to 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.

MINIMUM REQUIREMENTS

• Education: High School diploma or equivalent.
• Experience: One year experience as receptionist or clerk in healthcare environment or one year 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 skills. Familiarity with excel spreadsheets.
• Usual Work Day : 8 Hours

PHYSICAL DEMANDS AND WORK ENVIRONMENT

• 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.
• Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Moderate Depth Perception, Accurate Hearing
• Anticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens , Chemical , Airborne Communicable Disease , Dust/Particulate Matter

This position is eligible for the following 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

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. 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.