Ambulatory Care Admin Specialist (Day Shift)

UMass Memorial Medical Group; Marlborough (MA); On-site; USD 27,000 - 44,000; Full time

Benefits offered by this job

Signing bonus

Job summary

UMass Memorial Health's Marlborough Specialty Care Center is seeking an ambulatory services administrator to perform a broad range of administrative tasks for patients needing routine and urgent appointments, procedures and tests. You will verify patient data, collect co-pays, prepare consent forms, and coordinate referrals and authorizations with insurers.

You will manage calls, scheduling, and records, while supporting clinicians and staff across departments.

Responsibilities

• Greets visitors and patients for scheduled and/or urgent care appointments and procedures.
• Confirms and verifies patient demographic and insurance information.
• May collect co-payments from patients upon arrival.
• Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information.
• Assess patients' needs, including financial counseling, interpreter services, social services and refers to appropriate person or area.
• Receives and directs phone calls.
• Connects the patient's call to the provider or responds to the 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 in a manner that fosters optimum patient care, efficient utilization of clinical staff, as well as resources.
• Ensures tests and procedural prep information is provided to patients verbally, mail, and/or by the 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 that 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.
• May 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 a variety of 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.
• May 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.

Job description

UMass Memorial Health's Marlborough Specialty Care Center is seeking an ambulatory services administrator to perform a broad range of administrative tasks for patients needing routine and urgent appointments, procedures and tests. You will verify patient data, collect co-pays, prepare consent forms, and coordinate referrals and authorizations with insurers.

You will manage calls, scheduling, and records, while supporting clinicians and staff across departments.