Ambulatory Service Representative - Pediatric Orthopedics

CHRISTUS Health; San Antonio (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

CHRISTUS Health is seeking an administrative professional to support ambulatory care operations in San Antonio. The role involves coordinating patient scheduling, conducting intake, verifying demographics and insurance, and assisting with referrals and authorizations to ensure smooth patient flow.

The candidate will manage calls, greet patients, collect co-pays, and collaborate with providers and insurers to streamline tests and services in a busy outpatient setting.

Qualifications

• High School Diploma is required.

Responsibilities

• Receives and directs phone calls from patients and physician offices.
• Schedules patients for treatment by multiple providers and treatment areas, and arranges related tests and procedures.
• Prioritizes appointments to optimize patient care and efficient use of staff and facilities.
• Handles urgent patient care calls and may alert providers to emergent symptoms.
• Schedules urgent care appointments as needed per physician guidance.
• Greets patients for scheduled and urgent appointments and procedures.
• Confirms and verifies patient demographic and insurance information.
• Collects co-payments from patients upon arrival when applicable.
• Obtains signatures of consent for treatment authorization and insurance/billing information.
• Collaborates with insurers to obtain prior-authorizations for procedures and tests as needed.
• Follows insurer guidelines to ensure pre-authorization and referrals are obtained before visits.
• Reviews billing discrepancy reports and researches errors for resolution.
• Maintains accurate records, logs, and related information.

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