Ambulatory Services Rep II

Texas Children's; United States; On-site; USD 25,000 - 30,000; Full time

Job summary

Texas Children’s in United States is hiring an Ambulatory Services Representative II to be the first point of contact for patients, providers, and staff at ambulatory clinics. You will handle registration, scheduling, check-in/out, insurance verification, referrals, authorizations, and payments while guiding families through virtual and in-person visits.

Responsibilities include coordinating appointments, processing charges, assisting with clinical data, and supporting efficient patient flow.

Qualifications

• High school diploma or GED required.
• 2 years of customer service or 2 years of clerical/medical office experience in healthcare environment required.

Responsibilities

• Perform patient registration procedures, obtain and verify patient demographic data, and ensure all necessary patient forms are provided and completed.
• Help orient patients to the virtual visit process and ensure the necessary technology is set up when applicable.
• Communicate with patients, staff, and providers regarding patient arrivals, delays, clinic processes, and appointment changes.
• Schedule and confirm appointments, coordinate referrals and rescheduling, and communicate the date, time, location, and required preparatory information to patients and families.
• Verify insurance benefits, obtain authorizations, confirm receipt of insurance referrals, and follow up on pending precertifications and benefits.
• Collect upfront fees, refer patients to the financial counselor, and assist as a clinic and family resource regarding managed care questions.
• Enter, batch, and reconcile charges daily, prepare deposits, and complete closing procedures according to departmental processes.
• Investigate rejected charges, collaborate with Business Services to resolve denied charges, and work with leadership to prevent future denials.
• Welcome and interact with patients, families, and visitors in a professional, timely, age-appropriate, and culturally sensitive manner; ensure interpreter services are available.
• Provide basic office support and assist healthcare providers with clinical data management and administrative duties.
• Participate in performance improvement activities and maintain departmental statistics and time/attendance records.

Skills

Customer service

Scheduling

Communication

Interpersonal skills

Education

High school diploma or GED

Job description

At our company, our mission starts with our people. Guided by our HEART values-Humility, Excellence, Accountability, Respect, and Trust-we strive to create a workplace where teammates feel valued, supported, and empowered to do their best work every day.

As an Ambulatory Services Representative II, you'll provide customer service as the first point of contact for patients, providers, and staff accessing virtual and in-person ambulatory clinics. You'll coordinate registration, scheduling, check-in, and check-out while helping patients prepare for their visits. You'll also verify insurance benefits, obtain referrals and authorizations, collect payments, and support efficient patient flow.

• Perform patient registration procedures, obtain and verify patient demographic data, and ensure all necessary patient forms are provided and completed
• Help orient patients to the virtual visit process and ensure the necessary technology is set up when applicable
• Communicate with patients, staff, and providers regarding patient arrivals, delays, clinic processes, and appointment changes
• Schedule and confirm appointments, coordinate referrals and rescheduling, and communicate the date, time, location, and required preparatory information to patients and families
• Verify insurance benefits, obtain authorizations, confirm receipt of insurance referrals, and use system work queues to follow up on pending precertification's and benefits
• Collect appropriate upfront fees, refer patients with inadequate funding to the financial counselor, and serve as a clinic and family resource regarding managed care questions
• Enter, batch, and reconcile charges daily, prepare deposits, and complete closing procedures according to departmental processes
• investigate rejected charges, collaborate with Business Services to resolve denied charges, and work with leadership to prevent future denials
• Welcome and interact with patients, families, and visitors in a professional, timely, age-appropriate, and culturally sensitive manner, ensure interpreter services are available, and implement customer service recovery measures when needed
• Provide basic office support, follow up on missing medical records, and assist healthcare providers with clinical data management and administrative duties
• Participate in performance improvement activities, maintain departmental statistical information and time and attendance records, and provide coverage as needed
• Support efficient patient throughput in exam rooms, investigate prolonged wait times, and participate in clinic huddles to plan optimal patient flow

As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards.

High school diploma or GED required

2 years of customer service experience OR 2 years of clerical, medical office, or business experience in a healthcare environment required