Ambulatory Services Representative (Fairview)

Children's Health • Fairview, TX

47d • Onsite

About The Position

Conduct the scheduling, registering and financial process initiation for out-patient appointments within the ambulatory clinics. This position is accountable for delivering excellent customer service, obtaining accurate information for the beginning process of the financial system, and accurately scheduling patients with the most appropriate service and provider. Results expected are patient and provider satisfaction, in addition to complete, accurate data for appropriate financial outcomes.

Requirements

• At least 1 year customer service or outpatient-related scheduling experience Req
• High school diploma or equivalent Req

Responsibilities

• Receive appointment requests
• Identify existing Medical Record Number (MRN) or create new MRN
• Obtain correct demographic information as related to insurance information, etc.
• Determine in/out of network, uninsured, under-insured, need for financial counseling
• Offer financial screening to patient / payer
• Triage / prioritize initial patient diagnosis referral using standard operating procedures
• Complete and manage work queues in Epic
• Review hospital services and Hospital Account Record (HAR) accuracy
• Register donors and research participants
• Monthly review of Daily Account Record (DAR) for Medicaid mismatches, research and obtain valid insurance authorization or refer to financial counseling
• Obtain authorizations for admissions, liaise with access center
• Facilitate diagnostic and ancillary scheduling
• Review existing pre-visit orders, link when necessary
• Check patients in / out
• Make follow up appointments
• Prepare and distribute new patient reminder letters
• Organize and prepare patient packets, schedules, etc. for upcoming day's activities
• Apply (drop) charges in system to support clinic financial statistics
• Complete daily provider utilization grid
• Warm call reminders regarding upcoming appointment(s)
• Collect co-pay amounts from patient guardians
• Order supplies for clinic or department

Benefits

• Employee portion of medical plan premiums are covered after 3 years.
• 4%-10% employee savings plan match based on tenure
• Paid Parental Leave (up to 12 weeks)
• Caregiver Leave
• Adoption and surrogacy reimbursement

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees