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. The role focuses on one or more billing or charge-related areas and provides additional support as needed to optimize daily department flow. It also supports physicians and department managers and performs administrative work to ensure the proper functioning of the assigned practice. The position is in the Otolaryngology department and is scheduled full-time, 40 hours per week, during the day.

Requirements

High school diploma or GED plus at least 3 years of relevant experience; or a bachelor’s degree; or an associate degree plus at least 1 year of relevant experience.
Excellent oral and written English communication and interpersonal skills for courteous, patient-focused interactions with internal and external contacts.
Demonstrated customer service skills, including 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 and balance multiple priorities effectively.
Strong computer skills and knowledge of Microsoft Office applications, including Word, Excel, Access, and PowerPoint, and web/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

Manage charge entry, batch controls, billing (TES) edits, hold bill edits, and charge reconciliations.
Perform billing and managed care functions, including responding to billing inquiries, corresponding with insurance carriers, and investigating discrepancies.
Provide administrative support using word processing, spreadsheet, and presentation software to create and edit department documents and presentations.
Support physicians and department managers by managing calendars, scheduling administrative appointments, answering departmental calls, and handling credentialing documents.
Provide reception and customer service.
Create or verify Master Patient Index (MPI) records and manage registration demographics and visits.
Schedule appointments for consultations, tests, in-office procedures, and follow-up visits; coordinate cross-booking with interpreters, social services, radiology, and other services as needed.
Verify insurance and coverage, collect co-payments, review and correct registration and insurance edits, and coordinate pre-authorizations and referrals.
Reconcile referrals and manage referral work lists.
Handle practice phones and mail, forms, filing, photocopying, faxing, and preparation of letters and reports.
Adhere to BMC’s RESPECT behavioral standards.