Ambulatory Service Rep, Memorial Urology, 40 Hour, Days

Exemption Status: Non-Exempt Hiring Range: $20.94 - $29.27 Schedule Details: Monday through Friday Scheduled Hours: 8a-4:30p Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 10010 - 2733 Urology Union: SHARE (State Healthcare and Research Employees) Position may have a signing bonus; eligibility confirmed during interview. Major Responsibilities Greets visitors and/or patients for scheduled and/or urgent care appointments and procedures. Confirms and verifies patient demographic and insurance information. Collects co-payments from patients upon arrival. Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information. Assesses patients' needs including but not limited to financial counseling, interpreter services, social services and refers to appropriate person or area. Receives and directs phone calls. Connects patient's call to provider or responds to patient and takes messages as directed. Schedules urgent care appointments as needed and directed by clinicians. Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria. Prioritizes appointments to foster optimum patient care, efficient utilization of clinical staff, and resources. Ensures tests and procedural prep information is provided to patients verbally, mail, and/or by patient portal as necessary. Collaborates with insurers to obtain patients' prior authorizations for procedures and tests as needed. Follows guidelines established by insurers to ensure pre-authorization, pre-certification, and clinician referrals for treatment are obtained prior to patient visits. Complies with referral management regulations. Verifies eligibility for procedures or tests from various health care institutions. Follows up to correct discrepancies. Might facilitate patient prescription renewal matters, via telephone, fax, and email, within scope of authority as directed by clinicians. Preps the patient's information for clinicians for scheduled patient visits as needed. Scrubs Patient Encounter information and submits electronically. Reviews and audits billing discrepancy reports and researches errors for resolution as directed by office or clinical management. Maintains accurate and timely records, logs, charges, files, and other related information as required. Performs related administrative and clerical duties such as retrieving files, distributing mail and other records, faxing, collating, data entry, and relaying messages to clinicians, residents and staff. Might prepare special reports or spreadsheets for clinicians as requested. Collects co-payments from patients for visits, maintains records or makes daily cash deposits from patient visits. Calculates daily totals of co-payments received for submission to the second tier for co-payment reconciliation. Composes or selects standard form letters for clinician's response to routine inquiries and procedures, such as back-to-school authorizations. Standard Staffing Level Responsibilities Complies with established departmental policies, procedures and objectives. Attends a variety of meetings, conferences, seminars as required or directed. Demonstrates use of Quality Improvement in daily operations. Complies with all health and safety regulations and requirements. Respects diverse views and approaches, demonstrates Standards of Respect, contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. Maintains regular, reliable, and predictable attendance. Performs other similar and related duties as required or directed. Position Qualifications License/Certification/Education: Required: High School Diploma. Preferred: Associate's or Bachelor's degree. Experience/Skills: Required: 3 years of related experience (waived if candidate has Associate's or Bachelor's degree). Required: Ability to use specialized applications software and computer systems. Required: Ability to work under stressful situations; multifunctional. Required: Professional behavior, excellent communication and human relations skills. Preferred: Knowledge of business office procedures and medical terminology/procedures. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Physical Demands & Environmental Conditions Work is considered sedentary; requires working indoors in a patient care environment. Equal Employment Opportunity All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We encourage applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at View email address on click.appcast.io. We will make every effort to respond to your request for disability assistance as soon as possible. #J-18808-Ljbffr UMass Memorial Health