Ambulatory Service Representative - Orthopedic

CHRISTUS Health•San Antonio, TX

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 is based at CHRISTUS Santa Rosa Hospital - Westover Hills, a 253-bed hospital in San Antonio that provides orthopedic and surgical care, advanced spine surgery, intensive care, neurology, cardiovascular care, and other services.

Requirements

High school diploma or GED.
Proficiency with software and computer systems.
Knowledge of business office terminology and procedures.
Ability to multitask and work under stressful situations.
Effective written and verbal communication skills.
At least 1 year of customer service experience.

Nice To Haves

Experience with medical office terminology.

Responsibilities

Receive and direct phone calls from patients and physician offices.
Schedule patients 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, equipment, and facilities.
Handle urgent patient care calls and alert providers to emergent symptoms and concerns when appropriate.
Schedule urgent care appointments as directed by a physician.
Greet patients arriving for scheduled or urgent appointments and procedures.
Confirm and verify patient demographic and insurance information.
Collect applicable patient co-payments upon arrival.
Obtain patient or guardian signatures for treatment authorization and insurance or billing information.
Work with insurers to obtain prior authorizations for procedures and tests as needed.
Follow insurer guidelines to obtain pre-authorization, pre-certification, and physician referrals before patient visits.
Verify eligibility for procedures or tests with health care institutions.
Review and audit billing discrepancy reports and research errors for resolution.
Maintain accurate and timely records, logs, charges, files, and related information.
Perform administrative and clerical duties, including retrieving files, faxing, collating, data entry, and relaying messages to physicians, residents, and staff.
Prepare special reports or spreadsheets for physicians upon request.
Comply with departmental policies, procedures, objectives, and health and safety requirements.
Contribute to a respectful environment of professionalism, tolerance, and acceptance toward employees, patients, and visitors.
Perform other duties as required.