Ambulatory Service Representative II

Boston Medical Center (BMC); Boston (MA); On-site; USD 31,000 - 38,000; Full time

Job summary

Boston Medical Center (BMC) is seeking an Ambulatory Service Representative II for the Orthopedic Clinic in Boston, MA. The role coordinates ambulatory patient access functions, including front-end service, registration, insurance verification, appointment scheduling, charge entry and related admin duties.

The position focuses on optimizing daily flow across charge entry, billing edits, MPI, visit management and pre-authorization tasks, with strong emphasis on customer service and

Qualifications

• HS/GED with 3+ years relevant experience.
• Bachelor's degree or equivalent.
• Associates degree with 1 year relevant experience.
• Experience with medical billing or similar setting preferred.

Responsibilities

• Focuses on one or more of the following areas, and provides support as needed to optimize daily flow: 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).
• 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.
• In addition, performs a wide variety of administrative duties to ensure proper functioning of assigned department including: Reception & customer service, MPI creation/verification, Registration demographics, Visit management, Appointment scheduling, 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 (phones, mail, forms, filing, photocopying, faxing, preparing letters, reports).
• Adheres to all of BMC’s RESPECT behavioral standards.

Skills

English communication

Customer service

Confidentiality

Multitasking

MS Office

Hospital registration systems

Education

HS/GED with 3+ years experience

Bachelor's degree

Associates +1 year experience

Tools

MS Office

Job description

Position Summary The incumbent is responsible for coordinating all the functions and activities related to ambulatory patient access including, but not limited to: front end customer service, patient registration, insurance/coverage verification, appointment scheduling, charge entry, and a variety of administrative duties in support of department (such as, handling forms, phones, filing, making appointments, photocopying, faxing, mailings, letters, reports, etc).

Position Summary The incumbent is responsible for coordinating all the functions and activities related to ambulatory patient access including, but not limited to: front end customer service, patient registration, insurance/coverage verification, appointment scheduling, charge entry, and a variety of administrative duties in support of department (such as, handling forms, phones, filing, making appointments, photocopying, faxing, mailings, letters, reports, etc).

Position

Ambulatory Service Representative II

Department

Orthopedic Clinic

Schedule

Full Time

Essential Responsibilities / Duties

• Focuses on one or more of the following areas, and provides support as needed to optimize daily flow:
  • 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.
• In addition, performs a wide variety of administrative duties to ensure proper functioning of assigned department including, but not limited to:
  • 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

$22.70- $27.67

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
• resources to support employee and family wellbeing

Equal Opportunity Employer/Disabled/Veterans