Ambulatory Services Representative III-U

Boston Medical Center (BMC); Boston (MA); On-site; USD 34,000 - 42,000; Full time

Job summary

Boston Medical Center (BMC) is seeking an Ambulatory Services Representative III-U in Otolaryngology. The role focuses on coordinating patient access activities including OR scheduling, front-end service, registration, insurance verification, appointment scheduling, charge entry, and general admin support within the department.

The position involves managing surgical scheduling, pre-op workflows, pre-certifications, medical clearances, and coordination of multiple schedules and resources to

Qualifications

• Bachelor's degree plus 1–2 years relevant work experience, or
• Associates degree plus at least 3 years relevant experience, or
• HS/GED with 5+ years relevant experience.

Responsibilities

• Scheduling for surgical cases and pre-op appointments.
• Process pre-certifications and pre-authorization work lists for operative cases.
• Coordinate medical clearance documentation.
• Manage physician OR calendars and OR block time.
• Notify Pre-Surgical Services of schedule changes.
• Handle reception, MPI, registration and visit management tasks.
• Perform insurance verification and co-payment collection.
• Complete pre-authorization, referrals and referrals reconciliation.
• Billing charge entry and related edits and reconciliations.

Skills

English communication

Customer service

Confidentiality

Multitasking

Independent thinking

Education

Bachelor's degree

Associate degree

HS/GED

Tools

MS Word

MS Excel

MS Access

PowerPoint

Hospital registration system

Billing system

Job description

Position Summary

The incumbent is responsible for coordinating all the functions and activities related to patient access including, but not limited to: operation room (O.R.) scheduling, front end customer service, patient registration, insurance/coverage verification, appointment scheduling, charge entry, and a variety of administrative duties in support of department (such as coordination of physician credentialing, handling forms, phones, filing, making appointments, photocopying, faxing, mailings, letters, reports, etc.).

Position: Ambulatory Services Representative III-U

Department: Otolaryngology

Schedule: Full Time

Essential Responsibilities / Duties

• Primarily responsible for Surgical scheduling for all departmental cases including all pre-op appointments and other applicable procedure scheduling.


• Processes prior authorization and pre-certification work lists and reconciliations for operative cases (elective, urgent and emergent).


• Coordinates medical clearance documentation.


• Manages physician OR calendars.


• Manages OR block time and ensures utilization is maximized.


• Cancels blocks within 30 days.


• Notifies Pre-Surgical Services of changes in physicians or patients' schedules.

Duties

• 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


• Billing charge entry


• Batch controlsBilling (TES) edits


• Hold bill edits


• Charge reconciliations


• Billing and managed care functions


• Provides physician and departmental support such as managing physician & manager calendars, schedule physician & managers' administrative appointments, handles or routes calls to the department, verifies credentialing documents, etc.


• Provides general administrative support to include, word processing, spreadsheets, presentation software to create and edit department documents and presentations; handling forms, phones, filing, making appointments,

Job Requirements

• Bachelor's degree plus 1 - 2 years relevant work experience or


• Associates degree plus at least 3 years relevant experience or


• HS/GED with 5+ 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

$24.86- $30.30

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