Ambulatory Service Representative - Primary Pediatric

CHRISTUS Children's; San Antonio (TX); On-site; USD 33,000 - 45,000; Full time

Job summary

CHRISTUS Children's is seeking an administrative professional to support ambulatory care operations. The role involves handling phones, scheduling multiple providers, and coordinating tests and procedures in a fast-paced environment.

The ideal candidate will have strong communication skills, multitasking ability, and experience in a medical office setting. Proficiency with software and insurance verification is required.

Qualifications

• High School Diploma or GED is required.
• Proficient in software and computer systems.
• Knowledgeable of business office terminology / procedures.
• Ability to multitask and work under stressful situations.
• Effective written and verbal communication skills.
• 1+ year of customer service experience required.
• Experience with medical office terminology preferred.

Responsibilities

• Receives and directs phone calls from patients and physician offices.
• Schedules patients for treatment by multiple providers and tests.
• Prioritizes appointments to optimize care and resources.
• Handles urgent patient care calls and alerts providers as needed.
• Verifies patient demographics and insurance information.
• Collects co-payments from patients upon arrival when applicable.

Skills

Customer service

Multitasking

Written communication

Verbal communication

Computer software proficiency

Medical office terminology

Education

High School Diploma or GED

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.
• Verifies eligibility for procedures or tests from various health care institutions
• Reviews and audits billing discrepancy reports and researches errors for resolution
• Maintains accurate and timely records, logs, charges, files, and other related information as required
• Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
• Prepares special reports or spreadsheets for physicians as requested
• Complies with established departmental policies, procedures and objectives
• Complies with all health and safety regulations and requirements
• Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
• Perform other duties as required.

Requirements

• High School Diploma or GED required
• Proficient in software and computer systems
• Knowledgeable of business office terminology / procedures
• Ability to multi task and work under stressful situation
• Effective written and verbal communication skills
• 1+ year of customer service experience required
• Experience with medical office terminology preferred

Work Schedule

5 Days - 8 Hours

Work Type

Full Time