Ambulatory Service Representative - Pediatric Orthopedics

CHRISTUS Children's; San Antonio (TX); On-site; USD 21,000 - 30,000; Full time

Job summary

Christus Children's Hospital in San Antonio, TX is seeking an experienced administrative assistant to support patients with routine and urgent appointments, procedures, and tests in ambulatory settings. The role involves assessing patient needs, coordinating referrals, and guiding clients through insurance and scheduling processes.

You will handle phone calls, schedule multi-provider treatments, verify demographics and insurance, collect co-pays, and assist with pre-authorizations and billing

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 tests.
• Prioritizes appointments to optimize patient care and resource use.
• Handles urgent patient care calls and alerts providers as needed.
• Greets patients for scheduled or urgent appointments and procedures.
• Verifies patient demographics and insurance information.
• Collects co-payments from patients when applicable.
• Obtains signatures for consent and insurance/billing information.
• Collaborates with insurers for prior-authorizations and referrals.
• Reviews billing discrepancy reports and researches errors for resolution.

Skills

Phone handling

Scheduling

Billing support

Customer service

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.

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