Ambulatory Service Representative - Admin

CHRISTUS Health; San Antonio (TX); On-site; USD 34,000 - 42,000; Full time

Job summary

CHRISTUS Health in San Antonio, TX seeks an experienced medical office administrator to support patients with routine and urgent appointments, tests, and ancillary services. You will assess patient needs, coordinate scheduling, insurance details, and referrals.

You will greet patients, verify demographics and insurance, collect co-pays, obtain consent, and collaborate with insurers to obtain prior-authorizations, ensuring compliance with billing guidelines.

Qualifications

• High School Diploma required.

Responsibilities

• Receives and directs patient and physician calls.
• Schedules treatment by multiple providers and tests per guidelines.
• Prioritizes appointments to optimize care and resource use.
• Handles urgent care calls and alerts providers as needed.
• Schedules urgent care appointments as directed by physician.
• Greets patients for scheduled and urgent visits.
• Confirms and verifies patient demographics and insurance information.
• Collects co-payments from patients upon arrival when applicable.
• Obtains signatures of consent for treatment and billing information.
• Collaborates with insurers for prior-authorizations as needed.
• Follows insurer guidelines for pre-authorization and referrals.
• Reviews billing discrepancy reports and researches errors for resolution.
• Verifies eligibility for procedures or tests; maintains required records.

Skills

Scheduling coordination

Billing support

Phone etiquette

Insurance verification

Medical office procedures

Education

High School Diploma

Job description

Summary:

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.

Responsibilities:

• Receives and directs phone calls from patients and physician offices
• 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 physician's clinical staff, as well as equipment and facilities
• Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
• Schedules urgent care appointments as needed and directed by physician
• Greets patients for scheduled and/or urgent care appointments and procedures
• Confirms and verifies patient demographic and insurance information
• Collect co-payments from patients upon arrival when applicable
• Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
• 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 physician referrals for treatment are obtained prior to patient visits
• Reviews and audits billing discrepancy reports and researches errors for resolution
• Verifies eligibility for procedures or tests from various health care institutions Maintains accurate and timely records, logs, charges, files, and other related information as required

Requirements:

• High School Diploma

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time