Ambulatory Services Representative

The incumbent in this role will support the clinic practice front desk by performing tasks such as patient check-in, patient scheduling, patient registration, patient outreach, insurance/coverage verification, and a variety of administrative duties as needed. 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 check-in, patient scheduling, patient outreach, patient registration, insurance/coverage verification, appointment scheduling, charge entry, billing and managed care, and a variety of administrative duties in support of department (such as coordination of physician credentialing, handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc.). Position Ambulatory Services Representative II Department Psychiatry - Community Behavioral Health Center Schedule Full Time - 40hrs Monday - Friday with 1 weekend a month requirement. The role will work every 3rd weekend, with weekend hours of 9:00 AM – 5:00 PM on both Saturday and Sunday. To balance the weekend schedule, the employee will have the Friday before their Saturday shift off and the Monday after their Sunday shift off. When it is not their scheduled weekend to work, the position will follow a standard Monday–Friday schedule of 8:00 AM – 4:30 PM. Essential Responsibilities / Duties Focuses on one or more of the following areas, and provides support as needed to optimize daily flow: 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, 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. Duties 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 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 plus 1 year relevant experience. Experience: Experience with medical billing or similar setting preferred but not required. 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- $27.26 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 Equal Opportunity Employer/Disabled/Veterans. #J-18808-Ljbffr Boston Medical Center (BMC)