Job Description
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