Ambulatory Service Representative, Endoscopy Suite, 20 Hours, Days

ummh; Southborough (MA); On-site; USD 27,000 - 44,000; Part time

Benefits offered by this job

Signing bonus

Job summary

UMass Memorial Health is seeking an administrative professional to support ambulatory services in the Endoscopy Suite. The role involves greeting patients, verifying demographics and insurance, collecting co-pays, and coordinating with clinicians for scheduling and test preparation.

Responsibilities include assisting with referrals and prior-authorizations, maintaining accurate records, and providing excellent patient service in a busy healthcare environment.

Qualifications

• Assist with patient scheduling and administrative duties in ambulatory setting.
• Coordinate with insurance and social services for patient needs.
• Handle data entry, billing support, and communications with clinicians.

Responsibilities

• Greets visitors and patients for appointments and procedures.
• Verifies patient demographics and insurance information.
• Collects co-payments when applicable and obtains consent signatures.
• Prepares patient information for clinicians and assists with scheduling tests.
• Collaborates with insurers for pre-authorizations and referrals.

Job description

Are you a current UMass Memorial Health caregiver?

Exemption Status: Non-Exempt

Hiring Range: $19.53 - $32.06 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations.

Schedule Details: Monday through Friday

Scheduled Hours: 8am - 12:30pm

Shift: 1 - Day Shift, 5 Hours (United States of America)

Hours: 20

Cost Center: 10021 - 2116 Endoscopy Suite

Union: SHARE Marlborough

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.

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.

I. 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 of meetings, conferences, seminars as required or directed.
3. Demonstrates use of Quality Improvement in daily operations.
4. Complies with all health and safety regulations and requirements.
5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of prof