Ambulatory Services Representative III - Eye Clinic

POSITION SUMMARY:

The incumbent is responsible for coordinating all the functions and activities related to patient access including, but not limited to: operation room (O.R.) scheduling, front end customer service, patient registration, insurance/coverage verification, appointment scheduling, charge entry, and a variety of administrative duties in support of department (such as coordination of physician credentialing, handling forms, phones, filing, making appointments, photocopying, faxing, mailings, letters, reports, etc.)

Position: Ambulatory Services Representative III

Department: Eye Clinic

Schedule: Full Time

ESSENTIAL DUTIES/RESPONSIBILITIES:

Primarily responsible for Surgical scheduling for all departmental cases including all pre-op appointments and other applicable procedure scheduling.

• Processes prior authorization and pre-certification work lists and reconciliations for operative cases (elective, urgent and emergent).
• Coordinates medical clearance documentation.
• Manages physician OR calendars.
• Manages OR block time and ensures utilization is maximized.
• Cancels blocks within 30 days.
• Notifies Pre-Surgical Services of changes in physicians or patients’ schedules.

In addition, performs a wide variety of administrative duties to ensure proper functioning of assigned department, including, but not limited to:

• Reception & customer service
• creating or verifying Master Patient Index (MPI)
• registration demographics
• visit management
• appointment scheduling (including consults, tests, in-office procedures, follow-up visits and cross-booking interpreters, social services, radiology, etc.)
• insurance/coverage verification
• co-payment collection
• front-end review and correcting registration & insurance edits
• pre-authorization, referral coordination and referral reconciliation
• Referral work lists
• Billing charge entry
• Batch controls
• Billing (TES) edits
• Hold bill edits
• Charge reconciliations
• billing and managed care functions
• Provides physician and departmental support such as managing physician & manager calendars, schedule physician & managers’ administrative appointments, handles or routes calls to the department, verifies credentialing documents, etc.
• Provides general administrative support to include, word processing, spreadsheets, presentation software to create and edit department documents and presentations; handling forms, phones, filing, making appointments, photocopying, faxing, mailings, etc.
• Other relevant duties as needed.

JOB REQUIREMENTS:

EDUCATION:

• Bachelor's degree plus 1 - 2 years relevant work experience or

• Associates degree plus at least 3 years relevant experience or

• HS/GED with 5+ years relevant experience.

EXPERIENCE:

• 1-5 years of experience depending on degree

KNOWLEDGE AND SKILLS:

• Excellent English communication skills (oral and written) and interpersonal skills are required to interact with internal and external contacts in a courteous and patient focused manner.

• Demonstrated customer service skills, including the ability to use appropriate judgment, independent thinking and creativity when resolving customer issues.

• Must be able to maintain strict confidentiality of all personal/health sensitive information.

• Ability to effectively handle challenging situations and to balance multiple priorities.

• Strong computer skills and knowledge of Microsoft Office applications (MS Word, Excel, Access, PowerPoint) and web/internet is required.

• Experience with standard hospital registration & billing systems or ability to learn such systems is also required.

Compensation Range:

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, and licensure/certifications directly related to position requirements. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), contract increases, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.

Equal Opportunity Employer/Disabled/Veterans

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