Ambulatory Service Representative II

BMC Software•Boston, MA

7d•$23 - $28

About The Position

The Ambulatory Service Representative II coordinates functions and activities related to ambulatory patient access, including customer service, patient registration, insurance and coverage verification, appointment scheduling, charge entry, and administrative support for the department. The role focuses on one or more billing and charge-related areas while providing additional support as needed to optimize daily operations. The position is in the Orthopedic Clinic and is full time. The representative also performs reception, registration, visit management, referral coordination, appointment scheduling, and related administrative duties. This includes supporting physicians and department leaders, handling communications and records, and following BMC’s RESPECT behavioral standards.

Requirements

High school diploma or GED plus at least 3 years of relevant experience; alternatively, a bachelor’s degree or an associate degree plus 1 year of relevant experience.
Excellent oral and written English communication and interpersonal skills to interact courteously and in a patient-focused manner with internal and external contacts.
Demonstrated customer service skills, including appropriate judgment, independent thinking, and creativity in resolving customer issues.
Ability to maintain strict confidentiality of personal and health-sensitive information.
Ability to handle challenging situations effectively and balance multiple priorities.
Strong computer skills and knowledge of Microsoft Office applications, including Word, Excel, Access, and PowerPoint, as well as web and internet use.
Experience with standard hospital registration and billing systems, or ability to learn such systems.

Nice To Haves

Experience with medical billing or a similar setting.

Responsibilities

Focus on one or more areas including charge entry, batch controls, billing edits, hold bill edits, charge reconciliations, and billing and managed care functions.
Respond to billing inquiries, correspond with insurance carriers, and investigate billing discrepancies.
Provide general administrative support using word processing, spreadsheets, and presentation software to create and edit department documents and presentations.
Support physicians and the department by managing calendars, scheduling administrative appointments, answering calls, and handling credentialing documents.
Provide reception and customer service.
Create or verify Master Patient Index records and manage registration demographics and visits.
Schedule appointments for consultations, tests, in-office procedures, follow-up visits, and related services, including cross-booking interpreters, social services, and radiology.
Verify insurance and coverage, collect co-payments, and review and correct registration and insurance edits.
Coordinate pre-authorizations and referrals, reconcile referrals, and manage referral work lists.
Handle administrative tasks such as phones, mail, forms, filing, photocopying, faxing, and preparing letters and reports.
Adhere to BMC’s RESPECT behavioral standards.