Ambulatory Service Rep, Otolaryngology, 40 Hours, Days
About The Position
The Ambulatory Service Rep performs complex administrative duties for patients needing routine or urgent appointments, procedures, tests, and related services in an ambulatory in/outpatient setting. The role assesses patient needs, including financial counseling, interpreter services, and social services, and directs patients to appropriate resources. The representative alerts providers to emergent patient-care needs and supports patient access, scheduling, records, and billing processes. This is a 40-hour-per-week day-shift position, scheduled Monday through Friday, generally from 8:00 a.m. to 4:30 p.m. The hiring range is $20.94–$29.27, based on a full-time schedule; compensation may vary based on scheduled hours, experience, skills, qualifications, and internal equity. A $3,000 signing bonus may be available to external hires, subject to eligibility confirmation during the interview process.
Requirements
- High school diploma.
- Three years of related experience; this requirement is waived for candidates with an associate’s or bachelor’s degree.
- Ability to use specialized application software and computer systems.
- Ability to perform multiple functions and work under stressful situations.
- Professional behavior and excellent communication and human relations skills.
Nice To Haves
- Associate’s or bachelor’s degree.
- Knowledge of business office procedures and medical terminology or procedures.
Responsibilities
- Greet patients and visitors for scheduled or urgent appointments and procedures.
- Confirm and verify patient demographic and insurance information.
- Collect patient co-payments when applicable and obtain signatures for treatment authorization and insurance or billing information.
- Assess patient needs, such as financial counseling, interpreter services, and social services, and refer patients to the appropriate person or area.
- Receive and direct phone calls, connect patients with providers, respond to patients as directed, and take messages.
- Schedule urgent care appointments as directed by clinicians.
- Schedule treatment with multiple providers and treatment areas, and arrange associated tests and procedures according to established guidelines and criteria.
- Prioritize appointments to support patient care and efficient use of clinical staff and resources.
- Provide patients with test and procedure preparation information verbally, by mail, or through the patient portal.
- Work with insurers to obtain prior authorizations for procedures and tests, and ensure required pre-authorizations, pre-certifications, and clinician referrals are obtained before visits.
- Comply with referral management regulations and verify eligibility for procedures or tests at healthcare institutions.
- Follow up to correct discrepancies.
- Facilitate prescription renewal matters by telephone, fax, or email within the scope of authority and as directed by clinicians.
- Prepare patient information for clinicians before scheduled visits as needed.
- Scrub patient encounter information and submit it electronically.
- Review and audit billing discrepancy reports and research errors for resolution as directed by office or clinical management.
- Maintain accurate and timely records, logs, charges, files, and related information.
- Perform administrative and clerical work, including retrieving files, distributing mail and records, faxing, collating, data entry, and relaying messages.
- Prepare special reports or spreadsheets for clinicians as requested.
- Maintain records of patient co-payments or make daily cash deposits, and calculate daily co-payment totals for reconciliation.
- Compose or select standard form letters for clinician responses to routine inquiries and procedures.
- Comply with departmental policies, procedures, and objectives; attend required meetings, conferences, and seminars; and use quality improvement in daily operations.
- Comply with health and safety requirements, demonstrate respect and professionalism, and maintain regular, reliable, and predictable attendance.
- Perform other similar and related duties as required or directed.
Benefits
- Potential $3,000 signing bonus for external hires; eligibility is confirmed during the interview process.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
