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 [email protected] . 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/ .Skills and Requirements
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
Once hired as a full-time employee, they would be expected to travel between all cardiology offices Newtown and Hopewell, Hamilton, Columbus and Robbinsville when needed - Bachelor's degree or higher
Third-party insurance knowledge
Athena experience (EMR system) null
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 employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to 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 oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].