Ambulatory Billing & Patient Services Specialist II

Roslindale; Boston (MA); Hybrid; USD 30,000 - 37,000; Full time

Job summary

The Ambulatory Services Representative II at BMCHS supports the clinical practice by focusing on billing and managed care functions, including charge entry, edits, reconciliations, and inquiries. May also assist with front-end patient registration and visit management.

Key tasks include MPI, demographics verification, scheduling, insurance verification, co-pay collection, pre-authorization, referrals, and general admin support. Strong English communication and confidentiality are essential.

Qualifications

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

Responsibilities

• Charge entry and billing edits.
• Batch controls and charge reconciliations.
• Billing and managed care functions including inquiries and insurance communications.
• Front‑end registration, MPI, demographics and visit management.
• Pre-authorization and referral coordination.

Skills

English communication

Customer service

Confidentiality

Multitasking

MS Office

Education

HS/GED + 3+ years relevant experience

Associates +1 year relevant experience

Bachelor's degree

Tools

Microsoft Office Suite

Job description

The Ambulatory Services Representative II at BMCHS supports the clinical practice by focusing on billing and managed care functions, including charge entry, edits, reconciliations, and inquiries. May also assist with front-end patient registration and visit management.

Key tasks include MPI, demographics verification, scheduling, insurance verification, co-pay collection, pre-authorization, referrals, and general admin support. Strong English communication and confidentiality are essential.