Ambulatory Services Representative, Oncology Clinic, Per Diem

UMass Memorial Health•Worcester, MA

1d•$18 - $32•Onsite

About The Position

Performs complex administrative duties for patients needing routine and/or urgent appointments, medical procedures, tests, and related ancillary services in an ambulatory in/outpatient setting. Assesses patients’ needs, including financial counseling, interpreter services, and social services, and refers them to the appropriate person or area. Alerts providers to emergent patient-care needs. The role supports patient scheduling and registration, verifies demographic and insurance information, obtains treatment and billing consents, coordinates tests and procedures, and helps secure required authorizations and referrals. It also handles patient calls and messages, provides preparation information, maintains records and billing information, and performs related administrative and clerical work. All responsibilities are essential job functions.

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 applications 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 and medical terminology or procedures.

Responsibilities

Greet patients and visitors for scheduled or urgent appointments and procedures.
Confirm and verify patient demographic and insurance information.
Collect patient co-payments when applicable; maintain related records and make daily cash deposits as required.
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 make appropriate referrals.
Receive and direct phone calls; connect patients with providers or respond and take messages as directed.
Schedule urgent appointments as requested 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 support 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 necessary.
Work with insurers to obtain prior authorizations for procedures and tests; ensure required pre-authorizations, pre-certifications, and clinician referrals are obtained before visits.
Comply with referral management regulations and verify eligibility for procedures or tests at healthcare institutions.
Follow up to correct discrepancies.
Facilitate prescription renewal matters by telephone, fax, or email within 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, including 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 for reconciliation.
Compose or select standard form letters for clinician responses to routine inquiries and procedures.
Comply with departmental policies, procedures, objectives, and health and safety requirements.
Attend meetings, conferences, or seminars as required or directed and demonstrate quality improvement in daily operations.
Maintain regular, reliable, and predictable attendance; perform other similar duties as required or directed.
Respect diverse perspectives and contribute to a professional, tolerant, civil, and accepting environment.