Ambulatory Service Rep, Otolaryngology, 40 Hours, Days

UMass Memorial Medical Group; Worcester (MA); Sur place; USD 29 000 - 40 000; Plein temps

Résumé du poste

UMass Memorial Medical Group is seeking an Administrative Clerk to support ambulatory care operations. The role involves greeting patients, verifying demographics and insurance, collecting co-pays, and assisting with consent forms and billing inquiries.

You will coordinate schedules across multiple providers and help prepare patient information for clinicians, ensuring smooth daily workflows. The position is full-time with a standard day schedule (Mon-Fri), 8:00 AM to 4:30 PM, in Worcester, MA,

Responsabilités

• Greets visitors and patients for scheduled and urgent care appointments.
• Verifies patient demographics and insurance information.
• Collects co-payments when applicable.
• Obtains signatures for consent and insurance/billing details.
• Schedules appointments with clinicians across multiple services; coordinates tests/procedures.
• Preps patient information for clinicians and supports pre-authorization processes.

Description du poste

Exemption Status

Non-Exempt

Hiring Range

$20.94 - $29.27 (based on a full time schedule of 40 hours per week).

Please note that the final offer will vary based on scheduled hours. Compensation for part-time or reduced schedules will be prorated based on scheduled weekly hours, experience, skills, qualifications, and internal equity considerations.

Schedule Details

Monday through Friday

Scheduled Hours: 8:00AM to 4:30PM (varies)

Shift: 1 - Day Shift, 8 Hours (United States of America)

Hours: 40

Cost Center: 10020 - 4060 Otolaryngology Cln

Union: SHARE (State Healthcare and Research Employees)

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

I.

Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs

$3,000 Sign On Bonus! (External Hires) A talent acquisition caregiver will provide more details about the sign on bonus during the interview process.

II. Major Responsibilities:

• 1. Greets visitors and/or patients for scheduled and/or urgent care appointments and procedures.
• 2. Confirms and verifies patient demographic and insurance information.
• 3. May collect co-payments from patients upon arrival.
• 4. Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information.
• 5. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area.
• 6. Receives and directs phone calls.
• 7. Connects the patient's call to the provider or responds to the patient and takes messages as directed.
• 8. Schedules urgent care appointments as needed and directed by clinicians.
• 9. 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.
• 10. Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of clinical staff, as well as resources.
• 11. Ensures tests and procedural prep information is provided to patients verbally, mail, and/or by the patient portal as necessary.
• 12. Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed.
• 13. Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and clinician referrals for treatment are obtained prior to patient visits.
• 14. Complies with referral management regulations.
• 15. Verifies eligibility for procedures or tests from various health care institutions.
• 16. Follows up to correct discrepancies.
• 17. May facilitate patient prescription renewal matters, (via telephone, fax, and email), within scope of authority as directed by clinicians.
• 18. Preps the patient's information for clinicians for scheduled patient visits as needed.
• 19. Scrubs Patient Encounter information and submits electronically.
• 20. Reviews and audits billing discrepancy reports and researches errors for resolution as directed by office or clinical management.
• 21. Maintains accurate and timely records, logs, charges, files, and other related information as required.
• 22. 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.
• 23. May prepare special reports or spreadsheets for clinicians as requested.
• 24. Collects co-payments from patients for visits, maintains records or makes daily cash deposits from patient visits.
• 25. Calculates daily totals of co-payments received for submission to the second tier for co-payment reconciliation.
• 26. Composes, or selects standard form letters for clinician's response to routine inquiries and procedures, such as back-to-school authorizations.

Standard Staffing Level Responsibilities:

• 1. Complies with established departmental policies, procedures and objectives.
• 2. Attends variety o