Ambulatory Services Representative II

Boston Medical Center (BMC); Boston (MA); Vor Ort; USD 31.000 - 38.000; Vollzeit

Benefits dieser Stelle

Medical insurance

Dental insurance

Vision benefits

403(b) retirement matches

Paid time off

Zusammenfassung

Boston Medical Center is seeking an Ambulatory Services Representative II to coordinate patient access activities, including front end service, check-in, scheduling, insurance verification and registration. You will support billing and managed care processes while handling administrative duties across the department.

The role requires strong English communication, excellent customer service, and proficiency with MS Office.

Qualifikationen

• HS/GED with 3+ years relevant experience.
• Bachelor's degree or
• Associates plus 1 year relevant experience
• Experience with medical billing or similar setting preferred.

Aufgaben

• Coordinate front end customer service, check-in, scheduling and registration.
• Handle insurance/coverage verification and charge entry.
• Support billing, managed care, and related administrative duties.
• Manage calendars, appointments, and communications for physicians and managers.
• Perform registration, MPI, visit management and cross-booking tasks.

Kenntnisse

Excellent English communication

Customer service

Prioritization

Microsoft Office

Ausbildung

HS/GED + 3+ years relevant experience

Bachelor's degree

Associates + 1 year relevant experience

Tools

MS Word

Excel

Access

PowerPoint

Jobbeschreibung

Position Summary

The incumbent is responsible for coordinating all the functions and activities related to patient access including, but not limited to: front end customer service, patient check-in, patient scheduling, patient outreach, patient registration, insurance/coverage verification, appointment scheduling, charge entry, billing and managed care, and a variety of administrative duties in support of department such as handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc.

Position Summary

The incumbent is responsible for coordinating all the functions and activities related to patient access including, but not limited to: front end customer service, patient check-in, patient scheduling, patient outreach, patient registration, insurance/coverage verification, appointment scheduling, charge entry, billing and managed care, and a variety of administrative duties in support of department such as handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc.

Position

Ambulatory Services Representative II

Department

Psychiatry - Community Behavioral Health Center

Schedule

Full Time - 40hrs Monday - Friday w/ 1 weekend a month requirement

The role will work every 3rd weekend, with weekend hours of 9:00 AM – 5:00 PM on both Saturday and Sunday. To balance the weekend schedule, the employee will have the Friday before their Saturday shift off and the Monday after their Sunday shift off.

When it is not their scheduled weekend to work, the position will follow a standard Monday–Friday schedule of 8:00 AM – 4:30 PM.

Essential Responsibilities / Duties

• Focuses on one or more of the following areas, and provides support as needed to optimize daily flow:
  • Charge entry
  • Batch controls
  • Billing (TES) edits
  • Hold bill edits
  • Charge reconciliations
• Billing and managed care functions (including responding to billing inquiries, 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.
• In addition, performs a wide variety of administrative duties to ensure proper functioning of assigned department including, but not limited to:
  • 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).
• Adheres to all of BMC’s RESPECT behavioral standards.

Job Requirements

EDUCATION

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

$22.70- $27.67

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. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), contract increases, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.

Equal Opportunity Employer/Disabled/Veterans