Ambulatory Service Rep, Neurology Clinic, 40 Hour, Days

UMass Memorial Health•Worcester, MA

5d•$21 - $29•Onsite

About The Position

Performs complex administrative duties for patients needing routine or urgent appointments, medical procedures, tests, and related ancillary services in an ambulatory in/outpatient setting. Assesses patient needs, including financial counseling, interpreter services, and social services, and refers patients to the appropriate person or area. Alerts providers to emergent patient care needs. The role supports patient registration, scheduling, referrals, authorizations, billing processes, and general clinic operations. It involves communication with patients, clinicians, insurers, and other healthcare institutions, while maintaining accurate records and providing administrative support to the clinic.

Requirements

High school diploma.
Three years of related experience; the experience 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

Greets patients and visitors for scheduled or urgent appointments and procedures.
Confirms and verifies patient demographic and insurance information.
May collect patient co-payments and obtain treatment and insurance/billing consent signatures.
Assesses patient needs, including financial counseling, interpreter services, and social services, and makes appropriate referrals.
Receives and directs phone calls, connects calls to providers, and responds to patients or takes messages as directed.
Schedules urgent appointments as directed by clinicians and schedules treatment with multiple providers and areas, including associated tests and procedures.
Prioritizes appointments to support patient care and efficient use of clinical staff and resources.
Provides patients with test and procedure preparation information verbally, by mail, or through the patient portal.
Works with insurers to obtain prior authorizations and follows insurer guidelines for pre-authorization, pre-certification, and clinician referrals.
Complies with referral management regulations and verifies eligibility for procedures or tests at healthcare institutions.
Follows up to correct discrepancies.
May facilitate prescription renewals by telephone, fax, or email within the scope of authority and as directed by clinicians.
Prepares patient information for clinicians and scrubs and electronically submits Patient Encounter information.
Reviews and audits billing discrepancy reports and researches errors for resolution as directed by office or clinical management.
Maintains accurate and timely records, logs, charges, files, and other required information.
Performs administrative and clerical duties, including retrieving files, distributing mail and records, faxing, collating, data entry, and relaying messages.
May prepare reports or spreadsheets for clinicians.
Maintains records of co-payments, makes daily cash deposits from patient visits as applicable, and calculates daily co-payment totals for reconciliation.
Composes or selects standard form letters for clinician responses to routine inquiries and procedures.
Complies with departmental policies, procedures, objectives, and health and safety requirements.
Attends meetings, conferences, and seminars as required or directed and demonstrates quality improvement in daily operations.
Demonstrates professionalism, respect, and civility toward employees, patients, and visitors.
Maintains regular, reliable, and predictable attendance and performs other similar duties as required or directed.