Patient Reception Representative (PRR)

Post Date

Sep 10, 2024

Location

Trenton,
New Jersey

ZIP/Postal Code

08619
US
Dec 09, 2024 Insight Global

Job Type

Contract

Category

Administrative Assistant

Req #

HPA-732974

Pay Rate

$14 - $18 (hourly estimate)

Job Description

- 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



We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.

To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .

Required Skills & Experience

- 1+ years of Medical customer service experience (front desk, patient services, etc)

- Insurance knowledge (comfortable calling up insurances, looking up referrals, etc.)

- Computer knowledge and skills required, particularly Excel

- Critical thinking and multi-tasking skills required

- General knowledge and experience using EMR systems

Nice to Have Skills & Experience

- Athena experience (EMR system)

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.