Ambulatory Service Representative - Specialty OB GYN

CHRISTUS Health•San Antonio, TX

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. The role includes receiving and directing calls; scheduling patients, appointments, tests, and procedures; prioritizing appointments; supporting patient check-in and registration; verifying demographic, insurance, and procedure eligibility information; collecting applicable co-payments; obtaining treatment and billing authorization signatures; and collaborating with insurers to secure required authorizations, certifications, and referrals. The representative also reviews billing discrepancies, maintains accurate records and related information, performs administrative and clerical duties, and prepares reports or spreadsheets as requested. The position follows departmental policies and health and safety requirements and contributes to a respectful, professional environment.

Requirements

High school diploma or GED.
Proficient in 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 optimum patient care and efficient use of clinical staff, equipment, and facilities.
Handle urgent patient care calls and alert providers to emergent symptoms and concerns.
Schedule urgent care appointments as needed and directed by a physician.
Greet patients for scheduled or urgent care appointments and procedures.
Confirm and verify patient demographic and insurance information.
Collect applicable co-payments upon patient 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.
Ensure required pre-authorizations, pre-certifications, and physician referrals are obtained 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 other required 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 as requested.
Comply with departmental policies, procedures, objectives, and health and safety regulations.
Contribute to a respectful environment of professionalism, tolerance, and acceptance toward employees, patients, and visitors.
Perform other duties as required.