Ambulatory Service Representative - CardiovascularSurgery

Description

Summary :

Performs a variety of complex administrative duties for

patients in need of routine and / or urgent appointments, medical

procedures, tests, and associated ancillary services in an

ambulatory in / outpatient setting. Assess patients’ needs, including

but not limited to, financial counseling, interpreter services,

social services and refers to appropriate person or area. Alerts

providers to emergent patient care needs.

Responsibilities :

Receives and directs phone calls from patients

and physician offices

Schedules patients

for treatment by multiple providers and treatment areas, and

arranges a variety of associated tests and procedures according to

established guidelines and specific

criteria

Prioritizes appointments in a

manner that fosters optimum patient care, efficient utilization of

physician’s clinical staff, as well as equipment and

facilities

Handles urgent patient care

calls and may alert providers to emergent patient care symptoms and

concerns

Schedules urgent care

appointments as needed and directed by

physician

Greets patients for scheduled

and / or urgent care appointments and

procedures

Confirms and verifies patient

demographic and insurance

information

Collect co-payments from

patients upon arrival when

applicable

Obtains signatures of consent

from patient / guardian for treatment authorization and

insurance / billing

information

Collaborates with insurers to

obtain patients’ prior-authorizations for procedures and tests as

needed

Follows guidelines established by

insurers to ensure that pre-authorization, pre-certification, and

physician referrals for treatment are obtained prior to patient

visits.

Verifies eligibility for

procedures or tests from various health care

institutions

Reviews and audits billing

discrepancy reports and researches errors for

resolution

Maintains accurate and timely

records, logs, charges, files, and other related information as

required

Performs a variety of related

administrative and clerical duties, such as retrieving files and

other records, faxing, collating, data entry, and relaying messages

to physicians, residents and

staff

Prepares special reports or

spreadsheets for physicians as

requested

Complies with established

departmental policies, procedures and

objectives

Complies with all health and safety

regulations and requirements

Contributes

in maintaining a respectful environment of professionalism,

tolerance, and acceptance toward all employees, patients and

visitors

Performs other duties as

required.

Requirements :

High School Diploma or

GED

Proficient in software and computer

systems

Knowledgeable of business office

terminology / procedures

Ability to multitask

and work under stressful

situation

Effective written and verbal

communication skills

1+ year of customer

service experience required

Experience with

medical office terminology preferred

Work Schedule : 5 Days - 8 Hours

Work

Type : Full Time