Additional Information
POSITION SUMMARY :
The incumbent is responsible for coordinating all the functions and activities related to patient access including, but not limited to: front/back end customer service, patient registration, insurance/coverage verification, appointment scheduling, charge entry, billing and managed care, and a variety of administrative duties in support of department (such as coordination of physician credentialing, handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, processing referrals etc.). The incumbent in this role will support the clinical practice by focusing on billing and managed care functions (including charge entries, billing edits, charge reconciliations, responding to billing inquires, corresponding with insurance carriers, investigating billing discrepancies, etc.). May also support the clinic with front-end customer service, patient registration, insurance/coverage verification, Referrals and a variety of administrative duties, as needed.
Position : Ambulatory Services Representative II
Department : Primary Clinic
Schedule : Full Time
ESSENTIAL RESPONSIBILITIES / DUTIES:
Focuses on one or more of the following areas, and provides support as needed to optimize daily flow:
Charge entry
Batch controls
Billing (TES) edits
Hold bill edits
Charge reconciliations
Billing and managed care functions (including responding to billing inquires, corresponding with insurance carriers, and investigating discrepancies, etc.).
Provides general administrative support to include, word processing, spreadsheets, presentation software to create and edit department documents and/or presentations.
Provides physician and departmental support such as managing physician & manager calendars, scheduling physician & managers' administrative appointments, answering departmental calls, credentialing documents, etc.
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
Provides a variety of administrative duties in support of the practice (such as handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc).
Adheres to all of BMC's RESPECT behavioral standards.
JOB REQUIREMENTS
JOB REQUIREMENTS
EDUCATION:
HS/GED plus 3+ years relevant experience.
Bachelors degree or
Associates plus 1 year relevant experience
Bmc · Boston