Ambulatory Service Representative - Pediatric Orthopedics

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

Job summary

CHRISTUS Children's in San Antonio is seeking an experienced medical administrative assistant to manage a broad range of patient services in an ambulatory setting. You will field calls, schedule multi-provider treatment, and coordinate tests and procedures per guidelines.

You will verify patient information and insurance details, collect co-pays, obtain consent forms, and assist with prior-authorizations and billing accuracy.

Qualifications

• Receives and directs phone calls from patients and physician offices.
• Schedules patients for treatment by multiple providers and treatment areas.
• Prioritizes appointments to optimize patient care and resource use.
• Handles urgent patient care calls and may alert providers of emergent symptoms.
• Schedules urgent care visits as directed by physicians.
• Greets patients for appointments and procedures.
• Verifies patient demographics and insurance information.
• Obtains co-payments from patients at arrival when applicable.
• Obtains signatures for treatment authorization and billing information.
• Coordinates with insurers for prior-auths as needed.
• Follows insurer guidelines to ensure pre-authorization and referrals.
• Maintains accurate records, logs, and files.

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.
• Prioritizes appointments to optimize patient care and resource use.
• Handles urgent care calls and may alert providers to emergent concerns.
• Greets patients for scheduled/urgent care appointments and procedures.
• Verifies patient demographics and insurance information.
• Collects co-payments from patients upon arrival when applicable.
• Obtains signatures of consent for treatment and billing information.
• Collaborates with insurers to obtain pre-authorizations for procedures/tests.
• Reviews billing discrepancy reports and researches errors for resolution.

Skills

Scheduling

Patient communication

Billing

Insurance coordination

Prior-authorizations

Education

High School Diploma

Tools

EMR systems

Phone system

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.

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