Ambulatory Services Representative, Oncology Clinic, Per Diem

UMass Memorial Health•Worcester, MA

1d•$18 - $32•Onsite

About The Position

The Ambulatory Services Representative performs complex administrative duties for patients needing routine or urgent appointments, medical procedures, tests, and related services in an ambulatory in/outpatient setting. The role assesses patients’ needs, including financial counseling, interpreter services, and social services, and refers them to the appropriate person or area. The representative also alerts providers to emergent patient care needs. The position supports patient access and clinic operations by greeting patients and visitors, confirming demographic and insurance information, scheduling appointments and procedures, coordinating authorizations and referrals, preparing information for clinicians, maintaining records, and performing related administrative and clerical work. The role may collect and reconcile patient co-payments and facilitate prescription renewals as directed by clinicians. This is a per-diem position with a Monday-through-Friday schedule and a stated day shift. Work is sedentary and indoors in a patient care environment.

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.
Knowledge of medical terminology and procedures.

Responsibilities

Greet visitors and patients arriving for scheduled or urgent care appointments and procedures.
Confirm and verify patient demographic and insurance information.
Collect patient co-payments when required and maintain related records or make daily deposits.
Obtain patient or guardian signatures for treatment authorization and insurance or billing information.
Assess patient needs, including financial counseling, interpreter services, and social services, and refer patients to the appropriate person or area.
Receive and direct phone calls; connect patients with providers or respond and take messages as directed.
Schedule urgent care appointments as needed and directed by clinicians.
Schedule patients with multiple providers and treatment areas, and arrange associated tests and procedures according to established guidelines and criteria.
Prioritize appointments to foster optimum patient care and efficient use of clinical staff and resources.
Provide patients with test and procedure preparation information verbally, by mail, or through the patient portal as needed.
Collaborate with insurers to obtain prior authorizations for procedures and tests as needed.
Ensure pre-authorization, pre-certification, and clinician referrals are obtained before visits in accordance with insurer guidelines.
Comply with referral management regulations.
Verify eligibility for procedures or tests at various health care institutions and follow up to correct discrepancies.
Facilitate prescription renewal matters by telephone, fax, or email within the scope of authority and as directed by clinicians.
Prepare patient information for clinicians before scheduled visits as needed.
Scrub Patient Encounter information and submit it electronically.
Review and audit billing discrepancy reports and research errors for resolution as directed by office or clinical management.
Maintain accurate and timely records, logs, charges, files, and related information.
Perform administrative and clerical duties such as retrieving files, distributing mail and records, faxing, collating, data entry, and relaying messages.
Prepare special reports or spreadsheets for clinicians as requested.
Calculate daily co-payment totals for submission to the second tier for reconciliation.
Compose or select standard form letters for clinicians responding to routine inquiries and procedures.
Comply with departmental policies, procedures, objectives, and health and safety requirements.
Attend meetings, conferences, and seminars as required or directed.
Demonstrate use of Quality Improvement in daily operations.
Respect diverse views and approaches and contribute to a professional, tolerant, civil, and accepting environment.
Maintain regular, reliable, and predictable attendance.
Perform other similar and related duties as required or directed.