Ambulatory Service Representative - Pediatric Orthopedics

Responsibilities

• Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
• Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities
• Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
• Schedules urgent care appointments as needed and directed by physician
• Greets patients for scheduled and/or urgent care appointments and procedures
• Confirms and verifies patient demographic and insurance information
• Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
• Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed
• Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits
• Reviews and audits billing discrepancy reports and researches errors for resolution
• Verifies eligibility for procedures or tests from various health care institutions

Requirements

• High School Diploma

Work Schedule

8AM - 5PM Monday-Friday

Work Type

Full Time