Ambulatory Services Representative III

Boston Medical Center Boston , MA 02298

Posted 2 months ago

Boston Medical Center (BMC) is more than a hospital. Its a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all-and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet - an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world.

Position: ASR III

Department: Dermatology Outpatient Clinic

Schedule: M-F 8:30am-5:00pm

Union: SEIU

POSITION SUMMARY:

Primarily responsible for Surgical scheduling for all departmental cases including all pre-op appointments and other applicable procedure scheduling.

  • Processes prior authorization and pre-certification work lists and reconciliations for operative cases (elective, urgent and emergent).

  • Coordinates medical clearance documentation.

  • Manages physician OR calendars.

  • Manages OR block time and ensures utilization is maximized.

  • Cancels blocks within 30 days.

  • Notifies Pre-Surgical Services 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

  • pre-authorization, referral coordination and referral reconciliation

  • Referral work lists

  • Billing charge entry

o Batch controls

o Billing (TES) edits

o Hold bill edits

o 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,

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+ years 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, 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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Ambulatory Services Representative III

Boston Medical Center