Ambulatory Care Registration & Financial Support Specialist

Alameda Health System; San Leandro (CA); On-site; USD 46,000 - 57,000; Full time

Benefits offered by this job

Comprehensive benefits program

Competitive pay

Job summary

Alameda Health System is seeking an Ambulatory Patient Services Representative to join the ambulatory care team. The role focuses on clerical support, patient registration, and enrollment into financial assistance programs while assisting with billing and eligibility screening.

You will work with patients to explain services, collect payments, verify insurance, and support day-to-day clinic operations, contributing to high-quality, patient-centered care.

Qualifications

• Education: High School diploma or equivalent.
• Minimum Experience: Demonstrated use of computer and telephone systems, and general navigation through application systems.
• Medical Terminology: Preferred, not required
• Bilingual: Preferred, not required

Responsibilities

• Registration and Pre-registration for Ambulatory Care Services; Interview patients to obtain necessary information for billing purposes, financial screening of patients and process documents to establish source of payment, and preparation of registration packets and patient visit. Appointment scheduling in person, and/or on the phone with excellent customer service.
• Advise patient and/or guarantor of financial obligations; collection and process payments, co-payments and pre-payments for services. Verify insurance program eligibility and coverage for Ambulatory Care Services.
• Interprets laws and regulations of Federal, State, and County programs and advises patient of eligibility requirements, as well as their rights and obligations in receiving financial services. Assist patient in completing applications and forms, as necessary, and reviews for accuracy and completion.
• Enter registration and billing information into computer application system following specific guidelines and instructions; retrieve data and prepare variety of reports related to patient census, patient insurance, and financial status.
• Distribute, complete, and collect forms and documents for Ambulatory Care Services; Provide explanation and education to patients of services and resources available. Determine enrollment options for eligible patients into various financial assistance programs, and enrollment of health coverage programs as needed.
• Maintain records of unit productivity, patient location, registration and discharge.
• Inform and advise medical providers of patient’s financial status and maintain open communication with Healthcare providers and staff to ensure timely notification of any health conditions or diagnosis that could qualify the patient for programs to assist the patient(s) with their healthcare costs.
• Assist and respond to patient inquiries regarding Alameda Health System (AHS) health care services; Inform patients of AHS and Ambulatory Care Services policies and procedures, direct patients to appropriate medical service areas.
• Referral processing as needed to provide timely, accurate, and quality to care and services. Process and submit required authorization and prior authorization forms with Health Plans or Medical/Provider groups as directed by the referring provider. Generate required correspondence/review notification of patients and providers of authorization determination or any barriers leading to scheduled services such as self-pay, continuity of care, and cancellation of schedule.
• Conduct outreach functions to achieve AHS organizational goals and initiatives.
• Utilise and operate standard office equipment, including but not limited to telephone, computers, fax machines, and AHS applications; Electronic Health Record, Financial Billing and Registration, and On-Line resources; Use of Telephone, E-Mail, and other equipment to provide communication and support to patients and AHS employees.
• Provide backup and coverage support for Ambulatory Care Services as assigned.
• Participates in performance improvement/quality control activities.
• Ability to empathize with vulnerable populations and underserved patients.
• Perform related duties as assigned.

Education

High School diploma or equivalent

Job description

Alameda Health System is seeking an Ambulatory Patient Services Representative to join the ambulatory care team. The role focuses on clerical support, patient registration, and enrollment into financial assistance programs while assisting with billing and eligibility screening.

You will work with patients to explain services, collect payments, verify insurance, and support day-to-day clinic operations, contributing to high-quality, patient-centered care.