Capital Health (US) · 2 months ago
Patient Reception Rep - FT - Day - Primary Care West Windsor NJ
Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff. The Patient Reception Representative is responsible for handling patient calls, scheduling appointments, ensuring accurate registration, and providing excellent customer service to patients and visitors.
Health CareMedicalOncology
Responsibilities
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
Refers 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
Qualification
Required
High School diploma or equivalent
One year experience as receptionist or clerk in healthcare environment or one year customer service experience
Familiarity with medical terminology, ICD-10 and CPT codes
Excellent communication and interpersonal skills
Proficient computer skills; basic Microsoft office skills
Familiarity with excel spreadsheets
Preferred
Medical assistant or medical office technician certification preferred
Benefits
Comprehensive and highly competitive benefits package
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.
Company
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.
H1B Sponsorship
Capital Health (US) has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2024 (1)
2023 (1)
2020 (1)
Funding
Current Stage
Late StageTotal Funding
$1MKey Investors
Bank of America
2023-05-03Grant· $0.5M
2022-10-13Grant· $0.5M
Leadership Team
Recent News
The Philadelphia Inquirer
2025-09-02
Company data provided by crunchbase