Ambulatory Services Representative II (Pediatric Specialty Group, Per Diem) Monday - Friday 8am - 5pm

Boston Medical Center; Boston (MA); On-site; USD 31,000 - 38,000; Part time

Job summary

Boston Medical Center is seeking an Ambulatory Services Representative II in the Pediatrics department. The role supports patient access activities including registration, insurance verification, scheduling, and billing, with a focus on accurate data and courteous service.

The position is Per Diem for 6 months, requiring strong communication, organized multitasking, and proficiency in MS Office. Experience in medical billing or related settings is preferred, with a commitment to confidentiality

Qualifications

• Bachelor's degree or Associates with relevant experience required.
• HS/GED with 3+ years relevant experience acceptable.
• Experience in medical billing or patient access is preferred.

Responsibilities

• Coordinate front/back end patient access functions including registration, insurance verification, scheduling, charge entry, and billing duties.
• Support billing & managed care functions, respond to inquiries, and reconcile discrepancies.
• Provide general administrative support using MS Office, process physician calendars and credentials.
• Handle MPI creation, demographics, visit management, appointment scheduling, and insurance verification.
• Assist with pre-authorization, referrals, and coordination; maintain reception and patient communications.
• Adhere to organization RESPECT standards and maintain confidentiality of patient information.

Skills

English communication

Customer service

Confidentiality

Multi-tasking

MS Office

Education

Bachelor's degree

Associates + 1 year relevant experience

HS/GED + 3+ years relevant experience

Tools

Hospital registration systems

Billing systems

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 / back 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: Pediatrics

Schedule: Per Diem (6 Months)

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 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
• 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.

EXPERIENCE:

• (See notes under educational requirements above).
• 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:

$22.36- $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. 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