Ambulatory Services Representative III - Eye Clinic
Boston Medical Center (BMC), Boston, MA, United States
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.
Duties
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, scheduling physician & managers’ administrative appointments, handling or routing calls to the department, verifying 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
Bachelor's degree plus 1–2 years relevant work experience
Associate’s degree plus at least 3 years relevant experience
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 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 required.
Experience with standard hospital registration & billing systems or ability to learn such systems also required.
Compensation Range
USD 24.86 – 30.30 per hour
Benefits include 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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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.
Duties
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, scheduling physician & managers’ administrative appointments, handling or routing calls to the department, verifying 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
Bachelor's degree plus 1–2 years relevant work experience
Associate’s degree plus at least 3 years relevant experience
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 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 required.
Experience with standard hospital registration & billing systems or ability to learn such systems also required.
Compensation Range
USD 24.86 – 30.30 per hour
Benefits include 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
#J-18808-Ljbffr