Ambulatory Service Representative - Call Center

CHRISTUS Health; San Antonio (TX); Presencial; USD 36.000 - 54.000; Jornada completa

Descripción de la vacante

CHRISTUS Health in San Antonio, TX, seeks an administrative professional to support ambulatory care operations. Responsibilities include scheduling with multiple providers, verifying demographics and insurance, collecting co-pays, obtaining consents, and coordinating tests and procedures.

You will alert providers to urgent needs, assist with financial counseling and interpreter services as needed, and liaise with insurers for pre-authorizations.

Formación

• High School Diploma required.

Responsabilidades

• Receives and directs phone calls from patients and physician offices.
• Schedules patients for treatment and coordinates tests and procedures.
• Verifies patient demographics and insurance information.
• Collects co-payments and obtains patient signatures for consent.
• Coordinates with insurers for prior-authorizations as needed.
• Alerts providers to urgent patient care needs.

Conocimientos

Phone etiquette

Scheduling

Insurance verification

Educación

High School Diploma

Descripción del empleo

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