Ambulatory Service Representative - Primary Pediatric

CHRISTUS Health; San Antonio (TX); On-site; USD 30,000 - 38,000; Full time

Job summary

CHRISTUS Health is seeking a detail‑oriented administrative professional to support ambulatory patient care. You will schedule appointments across providers, collect payments, verify demographics and insurance, and coordinate with insurers for prior-authorizations.

The role requires strong communication skills, ability to multitask, and experience in a fast-paced medical office environment. Minimum 1 year of customer service experience is expected.

Qualifications

• 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.

Responsibilities

• 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 alerts providers as needed.
• Greets patients for appointments and procedures.
• Verifies patient demographics and insurance information.
• Collects co-payments when applicable.
• Obtains signatures for consent and insurance information.
• Collaborates with insurers for prior-authorizations.
• Reviews billing discrepancy reports and researches errors for resolution.
• Maintains accurate records and related information.

Skills

Customer service

Multitasking

Communication

Attention to detail

Education

High School Diploma or GED

Tools

Medical office software

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


• Performs 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