Ambulatory Services Representative II

POSITION SUMMARY:

The incumbent is responsible for coordinating all the functions and activities related to patient access including, but not limited to: front end customer service, patient registration, insurance/coverage verification, appointment scheduling, charge entry, billing and managed care, and a variety of administrative duties in support of department (such as coordination of physician credentialing, handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc.).

Position: Ambulatory Services Representative II

Department: Primary Care Clinic

Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

Focuses on one or more of the following areas, and provides support as needed to optimize daily flow:

• Charge entry

• Batch controls

• Billing (TES) edits

• Hold bill edits

• Charge reconciliations

• Billing and managed care functions (including responding to billing inquires, corresponding with insurance carriers, and investigating discrepancies, etc.).

• Provides general administrative support to include, word processing, spreadsheets, presentation software to create and edit department documents and/or presentations.

• Provides physician and departmental support such as managing physician & manager calendars, scheduling physician & managers’ administrative appointments, answering departmental calls, credentialing documents, etc.

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

• Provides a variety of administrative duties in support of the practice (such as handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc.).

• Adheres to all of BMC’s RESPECT behavioral standards.

JOB REQUIREMENTS

EDUCATION:

• HS/GED plus 3+ years relevant experience.

• Bachelors degree or

• Associates plus 1 year relevant experience

EXPERIENCE:

• Experience with medical billing or similar setting preferred.

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.

Equal Opportunity Employer/Disabled/Veterans

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