Boston Medical Center

Ambulatory Services Representative II (Pediatric Specialty Group, FT, Days)

  • Boston Medical Center
  • Boston, MA 02118
  • 10 days ago

Job Description

Ambulatory Services Representative II

Boston Medical Center (BMC) is more than a hospital.

It's 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 all-and 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: Pediatrics

Schedule: Full Time

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.).

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 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.

EDUCATION:

Bachelors degree or

Associates plus 1 year relevant experience or HS/GED plus 3+ years relevant experience.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

None

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.

Req id: 19654

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