Ambulatory Services Representative II

BMC Software•Boston, MA
•$23 - $28

About The Position

The Ambulatory Services Representative II coordinates patient access functions and activities for the Vascular Surgery department. The role supports front-end customer service, patient registration, insurance and coverage verification, appointment scheduling, charge entry, billing and managed care, and other administrative functions that help the department operate effectively. The incumbent focuses on one or more patient-access areas and provides support as needed to optimize daily workflow. Duties include front desk check-in and check-out, scheduling vascular lab and radiology tests, reviewing prior clinic notes, obtaining referrals and prior authorizations, and processing Epic In-Basket messages. The role also provides billing and managed-care assistance, physician and departmental support, and general administrative services.

Requirements

  • Bachelor's degree; or associate degree plus 1 year of relevant experience; or high school diploma/GED plus 3 or more years of relevant experience.
  • Excellent oral and written English communication and interpersonal skills to interact courteously and with a patient-focused approach.
  • Demonstrated customer service skills, including appropriate judgment, independent thinking, and creativity in 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, including Word, Excel, Access, and PowerPoint, as well as web and internet use.
  • Experience with standard hospital registration and billing systems, or the ability to learn such systems.

Responsibilities

  • Provide front-desk check-in and check-out services and patient-focused reception.
  • Schedule vascular lab and radiology tests, consultations, procedures, follow-up visits, and other appointments; coordinate cross-booking with interpreters, social services, radiology, and other services as needed.
  • Review prior clinic notes to prepare for upcoming visits.
  • Obtain referrals and prior authorizations from primary care offices and insurance companies, and coordinate and reconcile referrals.
  • Review and complete Epic In-Basket messages daily and manage referral work lists.
  • Perform patient registration activities, including creating or verifying the Master Patient Index, entering registration demographics, and managing visits.
  • Verify insurance coverage, review and correct registration and insurance edits, and collect copayments.
  • Make patient reminder calls.
  • Support 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 the department by managing calendars, scheduling administrative appointments, answering departmental calls, and handling credentialing documents.
  • 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
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