Ambulatory Service Rep II - Orthopedic Surgery

Boston Medical Center (BMC); Boston (MA); On-site; USD 30,000 - 37,000; Full time

Job summary

Boston Medical Center (BMC) is seeking an Ambulatory Service Rep II for the Orthopedic Clinic to support clinical practice by handling billing, charge entries, and managed care tasks, while also assisting with front-end patient access.

The role covers front desk functions, patient registration, insurance verification, appointment scheduling, co-payment collection, and coordination of credentialing and administrative duties, with a focus on accurate data and courteous service.

Qualifications

• HS/GED with 3+ years relevant experience or higher.
• Bachelor’s degree or Associate’s with 1 year relevant experience preferred.
• Experience with medical billing or a similar setting is preferred.

Responsibilities

• Charge entry and batch controls.
• Billing edits and hold bill edits.
• Charge reconciliations and managed care functions.

Skills

Excellent English communication skills

Customer service skills

Confidentiality

Multitasking

MS Word / Excel / PowerPoint

Education

HS/GED + 3+ years relevant experience

Bachelor's degree or Associates + 1 year relevant experience

Experience with medical billing or similar setting

Tools

MS Word

Excel

Access

PowerPoint

Job description

Position Summary

The incumbent in this role will support the clinical practice by focusing on billing and managed care functions (including charge entries, billing edits, charge reconciliations, responding to billing inquires, corresponding with insurance carriers, investigating billing discrepancies, etc.). May also support the clinic with front-end customer service, patient registration, insurance/coverage verification, and a variety of administrative duties, as needed.

The incumbent is responsible for coordinating all the functions and activities related to patient access including, but not limited to: front end customer service, patient registration, insurance/coverage verification, appointment scheduling, charge entry, billing and managed care, and a variety of administrative duties in support of department (such as coordination of physician credentialing, handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc.).

Position

Ambulatory Service Rep II

Department

Orthopedic Clinic

Schedule

Full Time (40hrs, Days)

Essential Responsibilities / Duties

• 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, etc.).
• 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.

Duties

• Reception & customer service
• creating or verifying Master Patient Index (MPI)
• registration demographics
• visit management
• appointment scheduling (including consults, tests, in-office procedures, follow-up visits and cross-booking interpreters, social services, radiology, etc.)
• 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 (such as handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc)
• Adheres to all of BMC’s RESPECT behavioral standards.

Job Requirements

EDUCATION

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

Knowledge And Skills

• Excellent English communication skills (oral and written) and interpersonal skills are required to interact with internal and external contacts in a courteous and patient focused manner.
• Demonstrated customer service skills, including the ability to use appropriate judgment, independent thinking and creativity when resolving customer issues.
• Must be able to maintain strict confidentiality of all personal/health sensitive information.
• Ability to effectively handle challenging situations and to balance multiple priorities.
• Strong computer skills and knowledge of Microsoft Office applications (MS Word, Excel, Access, PowerPoint) and web/internet is required.
• Experience with standard hospital registration & billing systems or ability to learn such systems is also required.

Compensation Range

• $22.36- $27.26

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, and licensure/certifications directly related to position requirements. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), contract increases, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.

Equal Opportunity Employer/Disabled/Veterans