Ambulatory Services Representative III- Dermatology

Ambulatory Services Representative III

The incumbent is responsible for coordinating all the functions and activities related to patient access including 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. This position is for the role of administrative assistant and surgical scheduler for a group of clinicians within the department. The incumbent should expect to be the go-to person and liaison between patients with special scheduling needs and the assigned clinicians.

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 : Education :

Knowledge and Skills :

Equal Opportunity Employer / Disabled / Veterans

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