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Ambulatory Services Representative II OBGYN Call Center FT DaysSEIU

Boston, MA

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Job Description:
The incumbent is responsible for coordinating all the functions and activities related to patient access including, but not limited to: front end customer service, patient registration, insurance/coverage verification, appointment scheduling, charge entry, billing and managed care, and a variety of administrative duties in support of department (such as coordination of physician credentialing, handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc.).
 Focuses on one or more of the following areas, and provides support as needed to optimize daily flow:
o Charge entry
o Batch controls
o Billing (TES) edits
o Hold bill edits
o Charge reconciliations
 Billing and managed care functions (including responding to billing inquires, corresponding with insurance carriers, and investigating discrepancies, etc.).
 Provides general administrative support to include, word processing, spreadsheets, presentation software to create and edit department documents and/or presentations.
 Provides physician and departmental support such as managing physician & manager calendars, scheduling physician & managers’ administrative appointments, answering departmental calls, credentialing documents, etc.
 In addition, performs a wide variety of administrative duties to ensure proper functioning of assigned department including, but not limited to:
o Reception & customer service
o creating or verifying Master Patient Index (MPI)
o registration demographics
o visit management
o appointment scheduling (including consults, tests, in-office procedures, follow-up visits and cross-booking interpreters, social services, radiology, etc.)
o insurance/coverage verification
o co-payment collection
o front-end review and correcting registration & insurance edits
o pre-authorization, referral coordination and referral reconciliation
o Referral work lists
 Provides a variety of administrative duties in support of the practice (such as handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc).
 Adheres to all of BMC’s RESPECT behavioral standards.
Bachelors degree or
Associates plus 1 year relevant experience or
HS/GED plus 3 years relevant experience.
(See notes under educational requirements above). Experience with medical billing or similar setting preferred.
 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.
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