Ambulatory Service Representative, Endoscopy Suite, 20 Hours, Days

About the role

This position serves as a caregiver for patients requiring routine and/or urgent appointments, medical procedures, tests, and ancillary services in an ambulatory setting.

Responsibilities

• Greets visitors and patients for scheduled and urgent care appointments.
• Confirms and verifies patient demographic and insurance information.
• May collect co-payments from patients upon arrival.
• Absorbs and assesses patients' needs, including financial counseling, interpreter services, social services, and refers to appropriate personnel.
• Alerts providers to emergent patient care needs.
• Schedules urgent care appointments as needed and directed by clinicians.
• Schedules patients for treatment by multiple providers and treatment areas, and arranges associated tests and procedures according to established guidelines and specific criteria.
• Prioritizes appointments to foster optimal patient care, efficient utilization of clinical staff, and resources.
• Ensures test and procedural prep information is provided to patients verbally, via mail, and/or by the patient portal as necessary.
• Collaborates with insurers to obtain patients' prior authorizations for procedures and tests as needed.
• Follows guidelines established by insurers to ensure pre-authorization, pre-certification, and clinician referrals for treatment are obtained prior to patient visits.
• Verifies eligibility for procedures or tests from various healthcare institutions.
• Follows up to correct discrepancies.
• Facilitates patient prescription renewal matters, (via telephone, fax, and email), within scope of authority as directed by clinicians.
• Prepares patient encounter information and submits electronically.
• Reviews and audits billing discrepancy reports and researches errors for resolution as directed by office or clinical management.
• Maintains accurate and timely records, logs, charges, files, and other related information as required.
• Performs a variety of related administrative and clerical duties, such as retrieving files, distributing mail and other records, faxing, collating, data entry, and relaying messages to clinicians, residents, and staff.
• May prepare special reports or spreadsheets for clinicians as requested.
• Collects co-payments from patients for visits, maintains records or makes daily cash deposits from patient visits.
• Calculates daily totals of co-payments received for submission to the second tier for co-payment reconciliation.
• Composes, or selects standard form letters for clinicians' responses to routine inquiries and procedures, such as back-to-school authorizations.

Qualifications

• Required: High School Diploma.
• Preferred: Associate's or Bachelor’s degree.
• Required: 3 years of related experience, this requirement is waived if candidate has Associate’s or Bachelor’s degree.
• Requires the ability to use specialized applications software and computer systems.
• Necessitates individuals who are multifunctional and able to work under stressful situations.
• Exemplifies professional behavior and excellent communication and human relations skills.
• Preferred: Knowledge of business office procedures and medical terminology/procedures preferred.

Skills

• Knowledge of business office procedures and medical terminology/procedures preferred.

Benefits

Details about benefits will be provided in a separate document.

Pay

The hiring range for this position is $19.53 - $32.06 per hour. The final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations.

Schedule

The schedule for this position is Monday through Friday, with scheduled hours of 8am - 12:30pm. The shift is 1 - Day Shift, 5 Hours.