Ambulatory Service Representative - Business Office

CHRISTUS Health•New Braunfels, 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 patients’ needs, including financial counseling, interpreter services, and social services, and refers them to the appropriate person or area. Alerts providers to emergent patient care needs.

Requirements

High school diploma.

Responsibilities

Receive and direct phone calls from patients and physician offices.
Schedule patients for treatment with multiple providers and treatment areas, and arrange associated tests and procedures according to established guidelines and criteria.
Prioritize appointments to support optimum patient care and efficient use of physicians’ clinical staff, equipment, and facilities.
Handle urgent patient care calls and alert providers to emergent symptoms and concerns as needed.
Schedule urgent care appointments as needed and as directed by a physician.
Greet patients arriving for scheduled or urgent care 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.
Collaborate with insurers to obtain prior authorizations for procedures and tests as needed.
Follow insurer guidelines to ensure pre-authorization, pre-certification, and physician referrals are obtained before patient visits.
Review and audit billing discrepancy reports and research errors for resolution.
Verify eligibility for procedures or tests with various health care institutions.
Maintain accurate and timely records, logs, charges, files, and other required information.
Assess patient needs, including financial counseling, interpreter services, and social services, and refer patients to appropriate resources.