Ambulatory Services Representative II

Boston Medical Center; Boston (MA); On-site; USD 30,000 - 37,000; Full time

Benefits offered by this job

Medical

Dental

Vision

403(b) matches

Earned time cash out

Paid time off

Career advancement opportunities

Wellbeing resources

Job summary

Boston Medical Center is seeking an Ambulatory Services Representative II to support billing and managed care functions, including charge entries, edits, reconciliations, and inquiries with insurance carriers.

The role may also involve front-end patient registration, insurance verification, and a range of administrative duties to support the Cardiovascular Center. Strong communication and MS Office skills are essential.

Qualifications

• HS/GED with 3+ years of relevant experience or an associate/bachelor’s degree with related experience.
• Experience in medical billing or similar setting preferred.
• Familiarity with hospital registration and billing systems or ability to learn them.

Responsibilities

• Charge entry and billing edits, batch controls, and charge reconciliations.
• Respond to billing inquiries and correspond with insurance carriers.
• Insurance/coverage verification and front-end registration tasks.
• Pre-authorization, referral coordination, and visit management.
• General administrative support and receptionist duties.

Skills

Excellent English communication

Customer service

Confidentiality

Multitasking

MS Office proficiency

Education

HS/GED + 3+ years relevant experience

Bachelor's or Associate + 1 year relevant experience

Tools

MS Word

MS Excel

MS Access

MS PowerPoint

Job description

POSITION SUMMARY

The incumbent in this role will support the clinical practice by focusing on billing and managed care functions (including charge entries, billing edits, charge reconciliations, responding to billing inquires, corresponding with insurance carriers, investigating billing discrepancies, etc.). May also support the clinic with front-end customer service, patient registration, insurance/coverage verification, and a variety of administrative duties, as needed. Position: Ambulatory Services Representative II Department: Cardiovascular Center Schedule: Full Time, 40 hours, Days

ESSENTIAL RESPONSIBILITIES / DUTIES

• Charge entry
• Batch controls
• Billing (TES) edits
• Hold bill edits
• Charge reconciliations
• Billing and managed care functions (including responding to billing inquires, corresponding with insurance carriers, and investigating discrepancies, etc.)
• Provides general administrative support to include word processing, spreadsheets, presentation software to create and edit department documents and/or presentations.
• Provides physician and departmental support such as managing physician & manager calendars, scheduling physician & managers’ administrative appointments, answering departmental calls, credentialing documents, etc.
• Reception & customer service
• Creating or verifying Master Patient Index (MPI) registration demographics
• Visit management appointment scheduling (including consults, tests, in-office procedures, follow-up visits and cross-booking interpreters, social services, radiology, etc.)
• Insurance/coverage verification
• Co-payment collection
• Front-end review and correcting registration & insurance edits
• Pre-authorization
• Referral coordination and referral reconciliation
• Referral work lists
• Provides a variety of administrative duties in support of the practice (such as handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc.)

JOB REQUIREMENTS

EDUCATION

• HS/GED plus 3+ years relevant experience.
• Bachelors degree or Associates plus 1 year relevant experience.

EXPERIENCE

Experience with medical billing or similar setting preferred.

KNOWLEDGE AND SKILLS

• Excellent English communication skills (oral and written) and interpersonal skills are required to interact with internal and external contacts in a courteous and patient focused manner.
• Demonstrated customer service skills, including the ability to use appropriate judgment, independent thinking and creativity when resolving customer issues.
• Must be able to maintain strict confidentiality of all personal/health sensitive information.
• Ability to effectively handle challenging situations and to balance multiple priorities.
• Strong computer skills and knowledge of Microsoft Office applications (MS Word, Excel, Access, PowerPoint) and web/internet is required.
• Experience with standard hospital registration & billing systems or ability to learn such systems is also required.

COMPENSATION

Compensation Range: $22.36- $27.26 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, and licensure/certifications directly related to position requirements.

BENEFITS

• medical
• dental
• vision
• pharmacy
• contract increases
• Flexible Spending Accounts
• 403(b) savings matches
• earned time cash out
• paid time off
• career advancement opportunities
• resources to support employee and family wellbeing

EMPLOYMENT NON-DISCRIMINATION

Boston Medical Center is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic.

ACCOMMODATION

If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to [e-mail] or call 617-638-8582 to let us know the nature of your request.

BACKGROUND CHECK AND VACCINATION

BMC participates in the Electronic Employment Verification Program. As an E-Verify employer, prospective employees of BMC must complete a background check before beginning their employment at the hospital.

BMC requires all staff to be vaccinated against COVID-19 and flu, as well as receive a booster dose of the COVID-19 vaccine.

MISSION AND CULTURE

Working at Boston Medical Center is more than a job. It’s a chance to make a difference as part of our mission to provide exceptional and equitable care to all. As a nationally-recognized leader in health equity, nursing, initiatives to combat climate change, and many other areas, BMC is dedicated to improving the health of our community in Boston and beyond. BMC’s mission to provide exceptional care without exception extends to our employees, and we have been recognized as a top employer and best place to work. A strong sense of teamwork and support for our staff are the bedrock of BMC, as we know that we can only provide exceptional care to patients when our staff are cared for too.