Ambulatory Billing & Access Specialist II

Roslindale; Boston (MA); Hybrid; USD 31,000 - 38,000; Full time

Job summary

BMCHS in Boston’s Orthopedic Clinic seeks an Ambulatory Service Rep II to support clinical operations with billing and managed care tasks, including charge entries, edits, and reconciliations, while also assisting with front-end patient access and registration.

Responsibilities include insurance communications, MPI maintenance, appointment scheduling, pre-authorization, and referral coordination, along with general administrative duties.

Qualifications

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

Responsibilities

• Charge entry and batch controls.
• Billing edits and reconciliations.
• Responding to billing inquiries and communicating with insurance carriers.
• Front-end patient registration, insurance verification, and appointment scheduling.
• Pre-authorization and referral coordination.
• Administrative support and credentialing coordination.
• Adherence to organizational standards.

Skills

English communication

Customer service

Confidentiality

Multitasking

MS Word

MS Excel

MS Access

PowerPoint

Web/Internet

Medical billing systems

Education

HS/GED

Bachelor's degree

Associate's degree

Tools

MS Word

MS Excel

MS Access

PowerPoint

Billing systems

Job description

BMCHS in Boston’s Orthopedic Clinic seeks an Ambulatory Service Rep II to support clinical operations with billing and managed care tasks, including charge entries, edits, and reconciliations, while also assisting with front-end patient access and registration.

Responsibilities include insurance communications, MPI maintenance, appointment scheduling, pre-authorization, and referral coordination, along with general administrative duties.