Work Shift:

Day (United States of America)

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.

Position Overview:

Works independently to assure prompt patient service both on telephone and at front desk. Oversees registration and checkout process and handling of electronic medical records to assure efficient flow of patients through office. Performs essential functions, as well as coordinates performance of staff as it relates to essential functions of this position, and all other office positions.Reviews issues promptly with providers, including routine issues, difficulties and unusual circumstances. Handles patient problems/complaints promptly; Refers difficult situations to Director/Manager.Answers telephones promptly and courteously, while handling multiple phone lines. Routes patient calls efficiently and appropriately to appropriate area/individual.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.Collects co-payments and outstanding balances at check-in, and time of service balances and estimated balances at check-out according to policy.Obtains copies of insurance cards, driver's license, authorizations, and referrals and cans or enters into system.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 Work lists/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 Work lists on a daily basis.Schedules follow-up appointments, creates appointment ticklers in system, and works associated Work lists/boxes relative to both based on assignment.Completes referrals and pre-authorizations as required.Creates a Time of Service batch and links 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 REQUIREMENTSEducation: High School or equivalent.Experience: Three years related experience in medical office or hospital setting. Prior experience with electronic health record preferred.Other Credentials:Knowledge and Skills: Intermediate knowledge of medical terminology, ICD-10 and CPT codes. Excellent verbal and written communication skills. Strong interpersonal and organizational skills.Special Training: Proficient with Microsoft office applications: Word, Outlook.Mental, Behavioral and Emotional Abilities: Ability to maintain confidentiality of patient and employee information. Ability to work effectively with physicians. Ability to work independently and as a member of a team.Usual Work Day: 8 Hours  PHYSICAL DEMANDS AND WORK ENVIRONMENTFrequent physical demands include: Sitting , Standing , Walking , Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive motionOccasional physical demands include: Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Taste or SmellContinuous physical demands include: Talk or HearLifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Accurate Depth Perception, Accurate HearingAnticipated Occupational Exposure Risks Include the following: N/A

Offers are contingent upon successful completion of our onboarding process and pre-employment physical.  Capital Health will require all applicants (including contractors, travelers and consultants) to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.

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