Ambulatory Services Representative II

Position Summary The 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 inquiries, 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. 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 a variety of administrative duties in support of the department (such as coordination of physician credentialing, handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc.). Position Ambulatory Service Representative II Department Neurology Schedule Full Time (40 hours, FT, Days) Essential Responsibilities / Duties 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 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. Bachelors degree Associates plus 1 year relevant experience Experience 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- $27.26 Benefits Benefit package includes medical, dental, vision, pharmacy, contract increases, Flexible Spending Accounts, 403(b) savings match, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing. Equal Opportunity Employer/Disabled/Veterans Equal Opportunity Employer/Disabled/Veterans #J-18808-Ljbffr Boston Medical Center (BMC)