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Insight Global Patient Reception Representative (PRR) in Newtown, Pennsylvania

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 .

   

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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 HR@insightglobal.com.

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