Ambulatory Services Representative II

Ambulatory Services Representative IIThe incumbent in this role will support the clinical practice by focusing on billing and managed care functions (including charge entries, billing edits, charge reconciliations, responding to billing inquires, corresponding with insurance carriers, investigating billing discrepancies, etc.). May also support the clinic with front-end customer service, patient registration, insurance/coverage verification, and a variety of administrative duties, as needed.Department: Cardiovascular CenterSchedule: Full Time, 40 hours, DaysEssential Responsibilities / Duties:Focuses on one or more of the following areas, and provides support as needed to optimize daily flow:Charge entryBatch controlsBilling (TES) editsHold bill editsCharge reconciliationsBilling 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 servicecreating or verifying Master Patient Index (MPI)registration demographicsvisit managementappointment scheduling (including consults, tests, in-office procedures, follow-up visits and cross-booking interpreters, social services, radiology, etc.)insurance/coverage verificationco-payment collectionfront-end review and correcting registration & insurance editspre-authorization, referral coordination and referral reconciliationReferral work listsProvides 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 RequirementsEducation:HS/GED plus 3+ years relevant experience.Bachelors degree orAssociates plus 1 year relevant experienceExperience: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.Compensation Range: $22.36- $27.26This 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. 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/VeteransAccording 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.