Ambulatory Services Representative II - Orthopedic Surgery 8:00am-4:30pm
Ambulatory Services Representative II - Orthopedic Surgery 8:00am-4:30pm
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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: Orthopedic Surgery
Schedule: Full Time
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 answering departmental calls managing physician & manager calendars scheduling physician & managers administrative appointments 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 inoffice procedures followup visits and crossbooking interpreters social services radiology etc.)
- insurance/coverage verification
- copayment collection
- frontend review and correcting registration & insurance edits
- preauthorization 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 BMCs RESPECT behavioral standards.
JOB REQUIREMENTS
EDUCATION:
- HS/GED plus 3 years relevant experience.
- Bachelors degree or
- Associates plus 1 year relevant experience
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.
Equal Opportunity Employer/Disabled/Veterans
Required Experience:
Unclear Seniority
Employment Type
Full-Time
