Ambulatory Services Representative III-U

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-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. 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, 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. 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 Compensation Range: $24.86- $30.30 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 According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment. Working at Boston Medical Center is more than a job. It’s a chance to make a difference as part of our mission to provide exceptional and equitable care to all. As a nationally-recognized leader in health equity, nursing, initiatives to combat climate change, and many other areas, BMC is dedicated to improving the health of our community in Boston and beyond. BMC’s mission to provide exceptional care without exception extends to our employees, and we have been recognized as a top employer and best place to work. A strong sense of teamwork and support for our staff are the bedrock of BMC, as we know that we can only provide exceptional care to patients when our staff are cared for too. Boston Medical Center is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e‑mail to View email address on click.appcast.io or call View phone number on click.appcast.io to let us know the nature of your request. Boston Medical Center participates in the Electronic Employment Verification Program. As an E-Verify employer, prospective employees of BMC must complete a background check before beginning their employment at the hospital. BMC requires all staff to be vaccinated against COVID-19 and flu, as well as receive a booster dose of the COVID-19 vaccine. According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment. To avoid becoming a victim of an employment offer scam, please follow these tips from the FTC: FTC Tips #J-18808-Ljbffr Boston Medical Center