Ambulatory Services Representative II-Primary Care

POSITION SUMMARY: The incumbent is responsible for coordinating all the functions and activities related to patient access, including front end customer service, patient registration, insurance/coverage verification, appointment scheduling, charge entry, billing and managed care, and various administrative duties in support of the department (e.g., physician credentialing, handling phones & mail, filing, photocopying, faxing, preparing letters and reports). Position: Ambulatory Services Representative II Department: Primary Care Clinic Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES Charge entry, batch controls, billing (TES) edits, hold bill edits, charge reconciliations. Billing and managed care functions: responding to billing inquiries, corresponding with insurance carriers, investigating discrepancies. General administrative support: word processing, spreadsheets, presentation software for department documents and presentations. Physician and departmental support: managing physician & manager calendars, scheduling administrative appointments, answering departmental calls, credentialing documents, etc. 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, cross-booking interpreters, social services, radiology), insurance/coverage verification, co-payment collection, front-end review and correcting registration & insurance edits, pre-authorization, referral coordination and reconciliation, referral work lists. Varied administrative duties to ensure proper functioning of the department (handling phones & mail, filing, photocopying, faxing, preparing letters, reports). JOB REQUIREMENTS HS/GED plus 3+ years of relevant experience. Bachelor's degree or Associate's degree plus 1 year of relevant experience. Experience with medical billing or similar setting preferred. KNOWLEDGE AND SKILLS Excellent English communication skills (oral and written) and interpersonal skills to interact with internal and external contacts in a courteous and patient-focused manner. Demonstrated customer service skills, judgment, independent thinking and creativity when resolving customer issues. Ability to maintain strict confidentiality of all personal/health sensitive information. Ability to handle challenging situations and balance multiple priorities. Strong computer skills and knowledge of Microsoft Office applications (Word, Excel, Access, PowerPoint) and web/internet. Experience with standard hospital registration & billing systems or ability to learn such systems required. Haitian Creole speaking preferred. COMPENSATION RANGE $22.36 - $27.26 per hour. EQUAL OPPORTUNITY STATEMENT 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. #J-18808-Ljbffr Boston Medical Center