Ambulatory Services Rep, Specialty Care Center at Marlborough ,40 Hour, Days

UMass Memorial Health•Marlborough, MA

1d•$20 - $32•Onsite

About The Position

Performs complex administrative duties for patients who need 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. The role works in a patient care environment and performs a variety of patient-facing, scheduling, insurance, billing, and clerical tasks.

Requirements

High school diploma.
Three years of related experience; this requirement is waived for candidates with an associate’s or bachelor’s degree.
Ability to use specialized application software and computer systems.
Ability to perform multiple functions and work under stressful situations.
Professional behavior and excellent communication and human relations skills.

Nice To Haves

Associate’s or bachelor’s degree.
Knowledge of business office procedures and medical terminology or procedures.

Responsibilities

Greets visitors and patients for scheduled or urgent care appointments and procedures.
Confirms and verifies patient demographic and insurance information.
May collect patient co-payments upon arrival and obtain signatures of consent for treatment authorization and insurance or billing information.
Assesses patient needs, including financial counseling, interpreter services, and social services, and makes appropriate referrals.
Receives and directs phone calls, connects patients with providers, responds to patients, and takes messages as directed.
Schedules urgent care appointments as needed and directed by clinicians.
Schedules appointments across multiple providers and treatment areas and arranges associated tests and procedures according to established guidelines and criteria.
Prioritizes appointments to support optimum patient care and efficient use of clinical staff and resources.
Provides patients with test and procedure preparation information verbally, by mail, or through the patient portal.
Works with insurers to obtain prior authorizations for procedures and tests; follows insurer guidelines for prior authorization, pre-certification, and clinician referrals before visits.
Complies with referral management regulations and verifies eligibility for procedures or tests at various health care institutions.
Follows up to correct discrepancies.
May facilitate prescription renewals by telephone, fax, or email within the scope of authority and as directed by clinicians.
Prepares patient information for clinicians’ scheduled visits as needed.
Scrubs Patient Encounter information and submits it electronically.
Reviews and audits billing discrepancy reports and researches errors for resolution as directed by office or clinical management.
Maintains accurate and timely records, logs, charges, files, and related information.
Performs administrative and clerical duties, including retrieving files, distributing mail and records, faxing, collating, data entry, and relaying messages to clinicians, residents, and staff.
May prepare special reports or spreadsheets for clinicians.
Maintains records of co-payments and may make daily cash deposits from patient visits.
Calculates daily co-payment totals for submission for reconciliation.
Composes or selects standard form letters for clinicians’ responses to routine inquiries and procedures.
Complies with departmental policies, procedures, and objectives, and attends meetings, conferences, or seminars as required or directed.
Demonstrates quality improvement in daily operations and complies with health and safety regulations and requirements.
Demonstrates respect for diverse views and approaches and contributes to a professional, tolerant, civil, and accepting environment for employees, patients, and visitors.
Maintains regular, reliable, and predictable attendance and performs other similar and related duties as required or directed.