Ambulatory Services Representative

Children, Inc.; Prosper (TX); On-site; USD 36,000 - 52,000; Full time

Benefits offered by this job

Paid Parental Leave

Caregiver Leave

Adoption reimbursement

Surrogacy reimbursement

Health plan premium coverage after 3 +

Job summary

Children's Health in Prosper, TX is seeking an Ambulatory Services Rep to manage scheduling, patient registration, and the initial financial steps for outpatient visits. You will ensure accurate patient information, verify insurance, determine network status, and coordinate with providers to assign the right service and clinician.

This on-site role emphasizes delivering excellent customer service, handling daily queues in Epic, collecting co-pays, and preparing patient packets for the day.

Qualifications

• At least 1 year of customer service or outpatient scheduling experience.
• High school diploma or GED required.

Responsibilities

• Receive appointment requests and schedule outpatient visits.
• Identify or create MRN and collect accurate demographic and insurance data.
• Determine in/out of network status and arrange financial counseling if needed.
• Manage Epic queues and review HAR/DAR for accuracy.
• Collect co-pays and prepare patient packets for the day.
• Provide phone support and ensure iCARE customer service standards.

Skills

Customer service

Scheduling

Outpatient experience

Education

High School GED equivalent

Job description

Job Title & Specialty Area:

Ambulatory Services Rep

Department:

Centennial Pediatric

Location:

Prosper, TX (with occasional floating to the Frisco location as needed)

Shift:

Monday-Friday, 7:40 AM-5:00 PM (Occasional later hours); rotating half-day Saturdays (approximately once a month)

Job Type:

On-Site

Why Children's Health?

At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal.

Through our cutting-edge treatments and affiliation with UT Southwestern, we strive to deliver an extraordinary patient and family experience, ensuring that every moment, big or small, contributes to their overall well-being.

Our dedication to promoting children's health extends beyond our organization and encompasses the broader community. Together, we can make a significant difference in the lives of children and contribute to a brighter and healthier future for all.

Summary

Conduct the scheduling, registering and financial process initiation for out-patient appointments within the ambulatory clinics. This position is accountable for delivering excellent customer service, obtaining accurate information for the beginning process of the financial system, and accurately scheduling patients with the most appropriate service and provider. Results expected are patient and provider satisfaction, in addition to complete, accurate data for appropriate financial outcomes.

Responsibilities

• Receive appointment requests
• Identify existing Medical Record Number (MRN) or create new MRN
• Obtain correct demographic information as related to insurance information, etc.
• Determine in/out of network, uninsured, under-insured, need for financial counseling
• Offer financial screening to patient / payer
• Triage / prioritize initial patient diagnosis referral using standard operating procedures
• Complete and manage work queues in Epic
• Review hospital services and Hospital Account Record (HAR) accuracy
• Register donors and research participants
• Monthly review of Daily Account Record (DAR) for Medicaid mismatches, research and obtain valid insurance authorization or refer to financial counseling
• Obtain authorizations for admissions, liaise with access center
• Facilitate diagnostic and ancillary schedulingReview existing pre-visit orders, link when necessary
• Check patients in / out
• Make follow up appointments
• Prepare and distribute new patient reminder letters
• Organize and prepare patient packets, schedules, etc. for upcoming day's activities
• Apply (drop) charges in system to support clinic financial statistics
• Complete daily provider utilization grid
• Warm call reminders regarding upcoming appointment(s)
• Collect co-pay amounts from patient guardians
• Order supplies for clinic or department
• Link and/or release patient orders (lab, therapy, etc.) in system
• Complete and process consent forms
• Provide phone management support for ambulatory clinic or department
• Understand and perform to iCARE standards for customer service
• Complete referral authorization during call, if possible. If not, create referral shell for PCP to verify the insurance referral
• Schedule multidisciplinary visits
• Template management
• Train other employees
• Committee involvement

Work Experience

• At least 1 year customer service or outpatient-related scheduling experience Required

EDUCATION

• High School Equivalent (GED) Essential

A Place Where You Belong

We put our people first. We welcome, value, and respect the beliefs, identities and experiences of our patients and colleagues. We are committed to delivering culturally effective care, creating meaningful partnerships in the communities we serve, and equipping and developing our team members to make Children’s Health a place where everyone can contribute.

Holistic Benefits – How We’ll Care For You

• Employee portion of medical plan premiums are covered after 3 years.
• 4%-10% employee savings plan match based on tenure
• Paid Parental Leave (up to 12 weeks)
• Caregiver Leave
• Adoption and surrogacy reimbursement

As an equal opportunity employer, Children's Health does not discriminate against employees or applicants because of race, color, religion, sex, gender identity and expression, sexual orientation, age, national origin, veteran or military status, disability, or genetic information or any other Federal or State legally-protected status or class. This applies to all aspects of the employer-employee relationship including but not limited to recruitment, hiring, promotion, transfer pay, training, discipline, workforce adjustments, termination, employee benefits, and any other employment-related activity.