Ambulatory Services Representative II Breast ImagingRadiology

Boston Medical Center (BMC) is more than a hospital. Its a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care BMC is committed to providing consistently excellent and accessible health services to alland is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world.

Position: Ambulatory Services Representative II

Department: Breast Imaging/Radiology

Schedule: Full Time

POSITION SUMMARY:

The incumbent in this role will support the clinical practice by focusing on billing and managed care functions (including charge entries billing edits charge reconciliations responding to billing inquires corresponding with insurance carriers investigating billing discrepancies etc.). May also support the clinic with front-end customer service patient registration insurance/coverage verification and a variety of administrative duties as needed.

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.

ESSENTIAL RESPONSIBILITIES / DUTIES:

Focuses on one or more of the following areas and provides support as needed to optimize daily flow:

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 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

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