Boston Medical Center Hiring For Ambulatory Services Representative II (Belkin Breast Center) at Boston, MA  Full Time

POSITION SUMMARY:

The incumbent in this role will support the clinical practice by focusing on front-end customer service, patient registration, insurance/coverage verification, and a variety of administrative duties. May also support the clinic 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.).

Position:Ambulatory Services Representative II (SEIU 1199)

Department: Belkin Breast HC

Schedule: Full Time, 40 hours, Days

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.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The

above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

JOB REQUIREMENTS

EDUCATION:

Bachelors degree or

Associates plus 1 year relevant experience or

HS/GED plus 3+ years relevant experience.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

None

EXPERIENCE:

(See notes under educational requirements above). Experience with medical billing or similar setting preferred.

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.

Monday- Friday: 8AM-4:30PM

We will provide consistently excellent and accessible health services to all in need of care regardless of status or ability to pay – exceptional care, without exception.

Boston Medical Center participates in the Electronic Employment Verification, Program. As an E-Verify employer, all employees are also subject to completing a background check.

Boston Medical Center’s policy is to ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. We view the principle of equal employment opportunity as a vital element in the employment process and as a hallmark of good management.

BMC is an equal employment/affirmative action employer. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to [email protected] or call 617-638-8582 to let us know the nature of your request.