Ambulatory Service Representative - Pedi MultiSpecialty

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 multi task

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 : 8AM - 5PM

Monday-Friday

Work Type : Full Time