Ambulatory Service Representative II

Boston Medical Center•Boston, MA

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 may focus on one or more areas, including billing and managed care functions, while providing support as needed to optimize daily department flow. The position also provides administrative, physician, and departmental support, including managing calendars, handling calls and mail, preparing documents, and performing other office duties. The incumbent is expected to follow BMC’s RESPECT behavioral standards and maintain confidentiality of personal and health-sensitive information.

Requirements

High school diploma or GED plus at least 3 years of relevant experience, or an associate or bachelor’s degree plus 1 year of relevant experience.
Excellent English oral and written communication and interpersonal skills to interact courteously and with a patient-focused approach.
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, 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

Coordinate ambulatory patient-access functions, including front-end customer service, patient registration, insurance and coverage verification, appointment scheduling, and charge entry.
Support one or more billing functions, such as batch controls, billing edits, hold-bill edits, charge reconciliations, billing inquiries, communications with insurance carriers, and investigating 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 departmental calls, and handling credentialing documents.
Perform reception and customer-service duties.
Create or verify Master Patient Index (MPI) records and manage registration demographics and visits.
Schedule consultations, tests, in-office procedures, follow-up visits, and cross-booked services such as interpreters, social services, and radiology.
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.