Ambulatory Service Representative - Ambulatory Surgery Center

CHRISTUS Health • San Antonio, TX

1d

About The Position

Performs a variety of complex administrative duties for patients who need routine or urgent appointments, medical procedures, tests, and associated 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

• Receives and directs phone calls from patients and physician offices.
• Schedules patients for treatment with multiple providers and treatment areas, and arranges associated tests and procedures according to established guidelines and criteria.
• Prioritizes appointments to foster optimum patient care and efficient use of physician clinical staff, equipment, and facilities.
• Handles urgent patient care calls and may alert providers to emergent symptoms and concerns.
• Schedules urgent care appointments as needed and as directed by a physician.
• Greets patients attending scheduled or urgent care appointments and procedures.
• Confirms and verifies patient demographic and insurance information.
• Collects applicable co-payments upon patient arrival.
• Obtains patient or guardian consent signatures for treatment authorization and insurance or billing information.
• Collaborates with insurers to obtain prior authorizations for procedures and tests as needed.
• Follows insurer guidelines to obtain pre-authorization, pre-certification, and physician referrals before patient visits.
• Reviews and audits billing discrepancy reports and researches errors for resolution.
• Verifies eligibility for procedures or tests with various health care institutions.
• Maintains accurate and timely records, logs, charges, files, and other required information.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED