Ambulatory Services Representative III-U
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 the department such as coordination of physician credentialing, handling forms, phones, filing, making appointments, photocopying, faxing, mailings, letters, reports, etc.
Position Details
Position:
Ambulatory Services Representative III-U
Department:
Otolaryngology
Schedule:
Full Time
Essential Responsibilities & Duties
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 & manager administrative appointments, handling or routing calls to the department, verifying credentialing documents, etc.
Provides general administrative support with word processing, spreadsheets, presentation software to create and edit department documents and presentations; handling forms, phones, filing, making appointments.
Job Requirements
Bachelor's degree plus 1–2 years relevant work experience OR
Associate’s degree plus at least 3 years relevant experience OR
HS/GED with 5+ years relevant experience.
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 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
$24.86 – $30.30
This range offers an estimate based on the minimum job qualifications. Our approach to determining base pay is comprehensive and considers education, experience, and licensure/certifications directly related to position requirements. In addition, our benefits package includes medical, dental, vision, pharmacy, flexible spending accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family well-being.
Equal Opportunity Employer
Equal Opportunity Employer/Disabled/Veterans
#J-18808-Ljbffr
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 the department such as coordination of physician credentialing, handling forms, phones, filing, making appointments, photocopying, faxing, mailings, letters, reports, etc.
Position Details
Position:
Ambulatory Services Representative III-U
Department:
Otolaryngology
Schedule:
Full Time
Essential Responsibilities & Duties
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 & manager administrative appointments, handling or routing calls to the department, verifying credentialing documents, etc.
Provides general administrative support with word processing, spreadsheets, presentation software to create and edit department documents and presentations; handling forms, phones, filing, making appointments.
Job Requirements
Bachelor's degree plus 1–2 years relevant work experience OR
Associate’s degree plus at least 3 years relevant experience OR
HS/GED with 5+ years relevant experience.
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 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
$24.86 – $30.30
This range offers an estimate based on the minimum job qualifications. Our approach to determining base pay is comprehensive and considers education, experience, and licensure/certifications directly related to position requirements. In addition, our benefits package includes medical, dental, vision, pharmacy, flexible spending accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family well-being.
Equal Opportunity Employer
Equal Opportunity Employer/Disabled/Veterans
#J-18808-Ljbffr