Ambulatory Services Rep II- Colon and Rectal Surgery

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 handling mail, photocopying, faxing, preparing letters, etc.). The incumbent in this role will support support the clinic with front-end customer service, patient registration, insurance/coverage verification, and a variety of administrative duties, as needed.

Position: Ambulatory Services Rep II

Department: Colon and Rectal Surgery

Schedule: Full Time - Monday: 8:30am-5pm; Tuesday-Friday: 8am-4:30pm

ESSENTIAL RESPONSIBILITIES / DUTIES:

May focus 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

Performs a wide variety of administrative duties to ensure proper functioning of assigned department including, but not limited to:

• Reception & customer service

• registration demographics

• visit management

• appointment scheduling (including consults, tests, in-office procedures, follow-up visits and cross-booking interpreters, 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

Billing and managed care functions (including responding to billing inquires, corresponding with insurance carriers, and investigating discrepancies, etc.).

Provides general administrative support to include, scheduling appointments, answering inbasket messages, returning patient calls, word processing, spreadsheets, presentation software to create and edit department documents and/or presentations.

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:

• 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.

• Experience using EPIC preferred.

Equal Opportunity Employer/Disabled/Veterans