Outpatient Services Rep

Brown University Health; Providence (RI); On-site; USD 30,169 - 31,560; Full time

Job summary

Brown University Health is hiring for a position focused on administrative duties related to patient scheduling and billing in Providence, Rhode Island. The role involves ensuring smooth visits for clinical care through various responsibilities, including managing appointments, verifying insurance information, and providing excellent customer service.

Applicants should have a high school diploma or equivalent and must demonstrate knowledge in medical billing routines. A commitment to the organization's core values of compassion and respect is essential.

Qualifications

• Six months experience coding and billing using an online billing system.
• Knowledge of medical terminology, diagnosis codes, and procedure codes.
• Courteous telephone technique.

Responsibilities

• Schedule patients and manage appointments.
• Verify demographic data and insurance information.
• Provide high-quality customer service.

Skills

PC skills using Windows

Knowledge of medical billing routines

Customer service skills

Education

High School Diploma or equivalent

Job description

Summary

Under the general supervision of, but according to established policies and procedures, the incumbent performs various administrative duties to expedite each patient's visit for clinical care. These duties include preparation of patient records; registration and pre‑registration activities; problem resolution; appointment scheduling; and co‑payment preparation and collection. In addition, ancillary duties involve tracking and status of follow‑up care as it pertains to specific diagnostic coding, billing/payment resolution, and generation of system reports reflecting scheduling activities.

Core Values

Brown University Health employees are expected to role model the organization’s values of Compassion, Accountability, Respect, and Excellence as these values guide everyday actions with patients, customers and one another.

• Instill Trust and Value Differences
• Patient and Community Focus
• Collaborate

Responsibilities

• Schedule patients using the hospital’s scheduling system, including appointment type, provider clinic, and appointment time.
• Schedule follow‑up appointments and manage lab work, diagnostic imaging, or referrals.
• Refer technical/clinical inquiries to appropriate personnel.
• Enter diagnosis/service codes from encounter sheets into the online billing system.
• Complete pre‑registration and registration using the online billing system.
• Verify demographic data, insurance authorization, co‑pays, and physician information.
• Collect co‑payments and provide receipts.
• Produce registration cards with the online system and card embosser.
• Photocopy front and back of insurance cards; confirm eligibility; obtain visit authorizations.
• Provide high‑quality customer service to patients and families.
• Mails informational material to new patients ahead of scheduled appointments.
• Contact agencies and third‑party payors for patient information and pre‑authorizations.
• Act as an outpatient center receptionist, make appointment reminders, answer incoming calls, and greet patients.
• Enter diagnosis/service codes, verify appropriateness, and resolve billing issues including denials.
• Obtain and organize medical records; ensure completeness prior to visits.
• Print reports using online scheduling and billing systems.
• Perform duties in accordance with RIH’s mission and administrative policies.
• Handle coding/billing within department guidelines.
• Respond to telephone inquiries from a centralized setting if needed.

Minimum Qualifications

• High School Diploma or equivalent.
• Demonstrated PC skills using Windows operating system and accompanying software packages.
• Knowledge of medical billing routines for physician office practice.
• Knowledge of medical terminology, diagnosis codes, and procedure codes.
• Courteous telephone technique and good customer service skills.

Experience

Six months experience coding and billing using an online billing system.

Work Environment & Physical Requirements

Walking, sitting, standing throughout the day in a clinic setting.

Pay Range

$21.90 – $22.91

EEO Statement

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location

Rhode Island Hospital – 593 Eddy Street, Providence, Rhode Island 02903

Work Type

8:30 – 5 p

Shift

Day

Driving Required

No

Union

International Brotherhood Teamsters