Ambulatory Services Representative II-U(Psychiatry Clinic)

BMC Software•Boston, MA

1d•Onsite

About The Position

The incumbent is responsible for coordinating all the functions and activities related to patient access for Nuclear Medicine, Nuclear Cardiology, Molecular Imaging and Radioisotope Therapies. This includes, but is not limited to, appointment scheduling, front end customer service, verification of patient registration, insurance/coverage verification, charge entry, and a variety of administrative duties in support of the department such as coordination of physician radioisotope therapy scheduling, handling forms, phones, filing, making appointments, photocopying, faxing, mailings, letters, and reports. This role supports Boston Medical Center's mission to provide consistently excellent and accessible health services to all and contribute to their Vision 2030 goal.

Requirements

HS/GED plus 3+ years relevant experience.
Bachelors degree or Associates plus 1 year relevant experience.
Excellent English communication skills (oral and written) and interpersonal skills.
Demonstrated customer service skills, including the ability to use appropriate judgment, independent thinking and creativity when resolving customer issues.
Ability to maintain strict confidentiality of all personal/health sensitive information.
Ability to effectively handle challenging situations and to balance multiple priorities.
Strong computer skills and knowledge of Microsoft Office applications (MS Word, Excel, Access, PowerPoint) and web/internet.
Experience with standard hospital registration & billing systems or ability to learn such systems.

Responsibilities

Primarily responsible for Nuclear Medicine scheduling for all departmental cases including all imaging and therapy appointments and other applicable procedure scheduling.
Work with referring departments for prior authorization and pre-certification.
Coordinates medical clearance documentation.
Manages physician Radioisotope Therapy calendars.
Manager radioisotope Therapy dose orders.
Manage scanner and treatment room block time and ensures utilization is maximized.
Manage Radioisotope Therapy team i.e. Radiation Safety, nursing and physicians of scheduled patients.
Reception & customer service.
Creating or verifying Master Patient Index (MPI) registration demographics.
Visit management.
Appointment scheduling (including consults, tests, in-office procedures, follow-up visits and cross-booking interpreters, social services, radiology, etc.).
Insurance/coverage verification.
Co-payment collection.
Front-end review and correcting registration & insurance edits.
Pre-authorization, referral coordination and referral reconciliation.
Referral work lists.
Billing charge entry.
Batch controls.
Billing (TES) edits.
Hold bill edits.
Charge reconciliations.
Billing and managed care functions (including responding to billing inquires, corresponding with insurance carriers, and investigating discrepancies, etc.).
Provides physician and departmental support such as managing physician & manager calendars, schedule physician & managers’ administrative appointments, handles or routes calls to the department, verifies credentialing documents, etc.
Provides general administrative support to include, word processing, spreadsheets, presentation software to create and edit department documents and presentations; handling forms, phones, filing, making appointments, photocopying, faxing, mailings, etc.
Other relevant duties as needed.
Must adhere to all BMC's RESPECT behavioral standards.