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 Service Representative II Department: Breast Imaging 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 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.
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