POSITION SUMMARY:

The incumbent is responsible for coordinating all the functions and activities related to patient access including, but not limited to: operation room (O.R.) scheduling, front end customer service, patient registration, insurance/coverage verification, appointment scheduling, charge entry, and a variety of administrative duties in support of department (such as coordination of physician credentialing, handling forms, phones, filing, making appointments, photocopying, faxing, mailings, letters, reports, etc.).

Position: Ambulatory Services Representative III-U

Department: Thoracic Clinic

Schedule: Full Time

ESSENTIAL RESPONSIBILITIES / DUTIES:

• Primarily responsible for all results letters, appointments reminders, and other applicable procedure scheduling.
• Processes prior authorization and pre-certification work lists and referral reconciliations for procedures.
• Coordinates medical clearance documentation.
• Serves as backup for managing physician OR calendars.
• Serves as backup for OR block time and ensures utilization is maximized.
• Notifies leadership team of changes in physicians or patients' schedules.

In addition, performs a wide variety of administrative duties to ensure proper functioning of assigned department, including, but not limited to:

• Reception & customer service
• Creating or verifying Master Patient Index (MPI)
• Registration demographics
• Visit management
• Appointment scheduling (including consults, tests, in-office procedures, follow-up visits and cross-booking interpreters, social services, radiology, etc.)
• Insurance/coverage verification
• Co-payment collection
• Front-end review and correcting registration & insurance edits
• Referral work lists
• Billing charge entry
• Batch controls
• Billing (TES) edits
• Hold bill edits
• Charge reconciliations
• Billing and managed care functions
• Provides physician and departmental support such as managing physician & manager calendars, schedule
• Physician & managers' administrative appointments, handles or routes calls to the department, verifies credentialing documents, etc.
• Provides general administrative support to include, word processing, spreadsheets, presentation software to create and edit department documents and presentations; handling forms, phones, filing, making appointments, photocopying, faxing, mailings, etc.
• Other relevant duties as needed.

JOB REQUIREMENTS

EDUCATION:

• Bachelor's degree plus 1 - 2 years relevant work experience or
• Associates degree plus at least 3 years relevant experience or
• HS/GED with 5+ year's relevant experience.

KNOWLEDGE AND SKILLS:

• 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, and PowerPoint) and web/internet is required. Experience with standard hospital registration & billing systems or ability to learn such systems is also required.

Req id: 30026