Ambulatory Access Specialist II

Boston Medical Center (BMC); Boston (MA); On-site; USD 31,000 - 38,000; Full time

Job summary

Boston Medical Center (BMC) is seeking an Ambulatory Service Representative II for the Orthopedic Clinic in Boston, MA. The role coordinates ambulatory patient access functions, including front-end service, registration, insurance verification, appointment scheduling, charge entry and related admin duties.

The position focuses on optimizing daily flow across charge entry, billing edits, MPI, visit management and pre-authorization tasks, with strong emphasis on customer service and

Qualifications

• HS/GED with 3+ years relevant experience.
• Bachelor's degree or equivalent.
• Associates degree with 1 year relevant experience.
• Experience with medical billing or similar setting preferred.

Responsibilities

• 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 inquires, corresponding with insurance carriers, and investigating discrepancies).
• 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: Reception & customer service, MPI creation/verification, Registration demographics, Visit management, Appointment scheduling, 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 (phones, mail, forms, filing, photocopying, faxing, preparing letters, reports).
• Adheres to all of BMC’s RESPECT behavioral standards.

Skills

English communication

Customer service

Confidentiality

Multitasking

MS Office

Hospital registration systems

Education

HS/GED with 3+ years experience

Bachelor's degree

Associates +1 year experience

Tools

MS Office

Job description

Boston Medical Center (BMC) is seeking an Ambulatory Service Representative II for the Orthopedic Clinic in Boston, MA. The role coordinates ambulatory patient access functions, including front-end service, registration, insurance verification, appointment scheduling, charge entry and related admin duties.

The position focuses on optimizing daily flow across charge entry, billing edits, MPI, visit management and pre-authorization tasks, with strong emphasis on customer service and