Ambulatory Services Representative III - GenderCare Center

BMC Software • Boston, MA

2d • $25 - $30 • Onsite

About The Position

Surgical scheduler for GenderCare Center to support gender-affirming care services across multiple specialties. Boston Medical Center (BMC) is more than a hospital. It´s a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all—and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet – an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world. Position: Ambulatory Services Representative III Department: GenderCare Center Schedule: Full Time, 40 Hours, Days POSITION SUMMARY: The Ambulatory Services Representative III is responsible for coordinating all the functions and activities related to patient access including, but not limited to: operation room (O.R.) scheduling, front end customer service, patient registration, insurance/coverage verification, appointment scheduling, prior authorization, patient trackers & other spreadsheets, and a variety of administrative duties in support of department (such as handling forms, phones, filing, photocopying, faxing, mailings, letters, reports, etc).

Requirements

• Bachelor’s degree plus 1 – 2 years relevant work experience or Associates degree plus at least 3 years relevant experience or HS/GED with 5+ years relevant experience.
• Included within Education.
• Excellent English communication skills (oral and written) and interpersonal skills are required to interact with internal and external contacts in a courteous and patient focused manner.
• Demonstrated customer service skills, including the ability to use appropriate judgment, independent thinking and creativity when resolving customer issues.
• Must be able 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 is required.
• Experience with standard hospital registration & billing systems or ability to learn such systems is also required.

Nice To Haves

• Bilingual: Spanish or Portuguese preferred

Responsibilities

• Primarily responsible for bottom gender-affirming surgery caseload, including both patient tracking & scheduling of surgeries, as well as responding to patient inquiries via phone, email and MyChart.
• Processes prior authorization and pre-certification for both surgeries and hair removal/in-office procedures.
• Coordinates behavioral health letters of support & medical clearance documentation.
• Schedules surgeries as well as preop & postop mandatory appointments.
• Under the Program Manager, ensures OR block time utilization is maximized.
• Processes referrals both to the Center and from the Center to other specialties at our hospital
• Reception & customer service
• 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
• 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.

Benefits

• BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), contract increases, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level