Ambulatory Services Representative II

BMC Software; Boston (MA); On-site; USD 31,000 - 38,000; Full time

Job summary

BMCHS is seeking an Ambulatory Services Representative II for its Vascular Surgery department. The role covers front desk operations, patient registration, insurance verification, appointment scheduling, charge entry, and billing coordination.

The position requires strong customer service, confidentiality, and MS Office proficiency, with routine administrative duties to support the department. The incumbent will manage physician calendars, handle referrals and pre-authorizations, and ensure

Qualifications

• Excellent English communication skills (oral and written).
• Demonstrated customer service skills with careful judgment and problem solving.
• Must maintain confidentiality of personal/health information.
• Ability to balance multiple priorities in a dynamic environment.
• Strong computer skills and MS Office knowledge; familiarity with hospital registration/billing systems desired.

Responsibilities

• Front desk check-in/check-out and patient reception.
• Schedule vascular lab and radiology tests; coordinate registrations.
• Verify insurance coverage and obtain referrals/pre-authorizations as needed.
• Handle pre-authorization, referrals, and referral reconciliation.
• Assist in billing inquiries and coordination with insurance carriers.
• General administrative support: word processing, spreadsheets, and presentations.

Skills

English communication

Customer service

Confidentiality

Prioritization

MS Office

Education

Bachelor's degree

Associate's degree +1 year relevant experience

HS/GED +3 years relevant experience

Tools

Microsoft Office

Job description

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 registration, insurance/coverage verification, appointment scheduling, charge entry, billing and managed care, and a variety of administrative duties in support of department (such as coordination of physician credentialing, handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc.).

Position: Ambulatory Services Representative II

Department: Vascular Surgery

Schedule: Full Time, 40 Hours, Days)(SEIU)

ESSENTIAL RESPONSIBILITIES / DUTIES:

Focuses on one or more of the following areas, and provides support as needed to optimize daily flow:

• Front desk check-in/check-out
• Schedule vascular lab & radiology test
• Review prior clinic notes to prepare for upcoming visits
• Obtain referrals and prior authorizations from PCP office and insurance companies
• Review and complete Epic In-Basket messages daily

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.

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
• Make patient reminder calls
• Collect copayments

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:

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

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