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

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

Benefits offered by this job

Benefits package

403(b) savings match

Earned time cash out

Paid time off

Job summary

Boston Medical Center seeks an Ambulatory Services Representative II to coordinate patient access activities in Pediatrics. Responsibilities cover front/back end customer service, registration, insurance verification, scheduling, charge entry, billing and managed care, plus general admin duties such as credentialing and correspondence.

The role requires strong English communication, confidentiality, and proficient MS Office skills.

Qualifications

• Excellent English communication skills (oral and written) and interpersonal skills.

Responsibilities

• Charge entry.
• Batch controls.
• Billing (TES) edits.
• Hold bill edits.
• Charge reconciliations.
• Billing and managed care functions including responding to billing inquiries and coordinating with insurers.
• Administrative support including word processing, spreadsheets, and presentations.
• Manage physician & manager calendars and credentialing documents.
• Reception and patient registration activities including MPI updates and visit scheduling.

Skills

English communication

Customer service

Confidentiality

multitasking

MS Office

Hospital billing systems

Education

Bachelor's or Associate + 1 year relevant experience

HS/GED + 3+ years relevant experience

Tools

MS Word

Excel

Access

PowerPoint

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:

• 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

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

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.

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.

Boston Medical Center 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.