Ambulatory Services Representative II
About The Position
The Ambulatory Services Representative II coordinates patient-access functions and activities, including customer service, patient check-in and registration, scheduling and outreach, insurance and coverage verification, charge entry, billing, managed care, and related administrative support. The role focuses on one or more billing and charge-related areas while also supporting the daily flow of the practice and providing general departmental, physician, and patient-facing administrative assistance. This is a full-time, 40-hour-per-week position in Psychiatry – Community Behavioral Health Center. The schedule includes work every third weekend, Saturday and Sunday from 9:00 AM to 5:00 PM. The employee has the Friday before and Monday after that weekend off. During non-weekend weeks, the schedule is Monday through Friday, 8:00 AM to 4:30 PM.
Requirements
- High school diploma or GED and at least 3 years of relevant experience; or an associate degree and at least 1 year of relevant experience; or a bachelor's degree.
- Excellent oral and written English communication and interpersonal skills to interact courteously and in a patient-focused manner with internal and external contacts.
- Demonstrated customer service skills, including sound judgment, independent thinking, and creativity when resolving customer issues.
- Ability to maintain strict confidentiality of personal and health-sensitive information.
- Ability to handle challenging situations effectively and balance multiple priorities.
- Strong computer skills and knowledge of Microsoft Office applications (Word, Excel, Access, and PowerPoint) and web/internet.
- Experience with standard hospital registration and billing systems, or ability to learn such systems.
Nice To Haves
- Experience with medical billing or a similar setting is preferred.
Responsibilities
- Focus on charge entry, batch controls, billing (TES) edits, hold bill edits, and charge reconciliations as assigned.
- Perform billing and managed care functions, including responding to billing inquiries, corresponding with insurance carriers, and investigating discrepancies.
- Provide general administrative support using word processing, spreadsheets, and presentation software to create and edit department documents and presentations.
- Support physicians and department managers by managing calendars, scheduling administrative appointments, answering departmental calls, and handling credentialing documents.
- Provide reception and customer service.
- Create or verify Master Patient Index (MPI) records and manage registration demographics and visits.
- Schedule appointments, including consultations, tests, in-office procedures, and follow-up visits; coordinate interpreters, social services, radiology, and other services as needed.
- Verify insurance and coverage, collect co-payments, and review and correct registration and insurance edits.
- Coordinate pre-authorizations and referrals, reconcile referrals, and manage referral work lists.
- Handle phones and mail, complete forms, file, photocopy, fax, and prepare letters and reports.
- Adhere to BMC’s RESPECT behavioral standards.
Benefits
- Medical, dental, vision, and pharmacy benefits
- Flexible Spending Accounts
- 403(b) savings matches
- Earned time cash out
- Paid time off
- Career advancement opportunities
- Resources to support employee and family wellbeing
- Contract increases
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
