Ambulatory Service Representative - Pediatrics Multi-Specialty Clinic

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

Job summary

CHRISTUS Health in San Antonio, TX seeks an experienced administrative professional to support patients through scheduling, billing, and care coordination in an ambulatory setting. You will greet patients, verify demographics and insurance, collect co-pays, obtain consent signatures, and coordinate pre-authorizations with insurers while upholding efficient workflows and high-quality patient service.

This full-time role follows 8 AM–5 PM, Monday–Friday, contributing to a compassionate team

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 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

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