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Ambulatory Services Representative II

Boston, MA 02118

Posted: 11/08/2022 Employment Type: Contract Job Category: Administrative Job Number: 514758 Is job remote?: No Country: United States

Job Description

Ambulatory Services Representative II
Must Haves:
-  HS diploma or GED
- Minimum (3)  years relevant experience
-  Microsoft Office experience
-  Hospital registration & billing systems or ability to learn such systems

-  Bachelors degree or Associates w/ (1) year relevant experience
-  Experience with medical billing or similar setting


The incumbent is responsible for coordinating all the functions and activities related to patient access including, but not limited to: front 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, etc.).

? 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 RESPECT behavioral standards.
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