Ambulatory Service Representative II- Orthopedic Surgery
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: 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 the department (such as coordination of physician credentialing, handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc.).
Position
Ambulatory Service Representative II
Department
Orthopedic Surgery
Schedule
Full Time
Essential Responsibilities / Duties
Charge entry
Batch controls
Billing (TES) edits
Hold bill edits
Charge reconciliations
Billing and managed care functions (including responding to billing inquiries, corresponding with insurance carriers, and investigating discrepancies).
Provides general administrative support to include word processing, spreadsheets, and presentation software to create and edit department documents and/or presentations.
Provides physician and departmental support such as managing physician & manager calendars, scheduling physician & manager administrative appointments, answering departmental calls, and credentialing documents.
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
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
Bachelor’s degree
Associate’s degree 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 balance multiple priorities.
Strong computer skills and knowledge of Microsoft Office applications (MS Word, Excel, Access, PowerPoint) and web/internet. Experience with standard hospital registration & billing systems or the ability to learn such systems is also required.
Compensation Range
$22.36–$27.26
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
We are an equal opportunity employer and are committed to a diverse workforce.
#J-18808-Ljbffr
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 the department (such as coordination of physician credentialing, handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc.).
Position
Ambulatory Service Representative II
Department
Orthopedic Surgery
Schedule
Full Time
Essential Responsibilities / Duties
Charge entry
Batch controls
Billing (TES) edits
Hold bill edits
Charge reconciliations
Billing and managed care functions (including responding to billing inquiries, corresponding with insurance carriers, and investigating discrepancies).
Provides general administrative support to include word processing, spreadsheets, and presentation software to create and edit department documents and/or presentations.
Provides physician and departmental support such as managing physician & manager calendars, scheduling physician & manager administrative appointments, answering departmental calls, and credentialing documents.
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
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
Bachelor’s degree
Associate’s degree 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 balance multiple priorities.
Strong computer skills and knowledge of Microsoft Office applications (MS Word, Excel, Access, PowerPoint) and web/internet. Experience with standard hospital registration & billing systems or the ability to learn such systems is also required.
Compensation Range
$22.36–$27.26
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
We are an equal opportunity employer and are committed to a diverse workforce.
#J-18808-Ljbffr