Company

Healthcare

AmbulatoryServicesRepresentativeII

$0–0k Boston, Massachusetts, United States FULL TIME
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Mid+ candidates.

The Brief

“Ambulatory Services Representative II. Skills: Billing, Managed care, Patient access, Administrative support. Support clinical practice. Focus on billing and managed care functions”

Industry & Context.

Healthcare
Problems you'll solve

Investigating discrepancies; Resolving customer issues

What They're Looking For.

Must Have

HS/GED plus 3+ years relevant experience, Bachelors degree or Associates plus 1 year relevant experience, Computer skills and knowledge of Microsoft Office applications, Experience with standard hospital registration & billing systems or ability to learn such systems

Nice to Have

Experience with medical billing or similar setting

What You'll Do.

Support clinical practice

Focus on billing and managed care functions

Perform charge entries

Perform billing edits

Perform charge reconciliations

Respond to billing inquiries

Correspond with insurance carriers

Investigate billing discrepancies

Support clinic with front-end customer service

Perform patient registration

Perform insurance/coverage verification

Perform administrative duties

Coordinate patient access functions

Provide front-end customer service

Perform patient registration

Perform insurance/coverage verification

Schedule appointments

Manage billing and managed care

Perform administrative duties

Coordinate physician credentialing

Handle phones and mail

Perform batch controls

Handle hold bill edits

Provide general administrative support

Create department documents

Edit department documents

Manage physician calendars

Manage manager calendars

Schedule physician appointments

Schedule manager appointments

Answer departmental calls

Manage credentialing documents

Ensure proper functioning of assigned department

Provide reception and customer service

Create Master Patient Index

Verify Master Patient Index

Manage registration demographics

Schedule in-office procedures

Schedule follow-up visits

Book radiology appointments

Perform front-end review

Correct registration edits

Correct insurance edits

Perform pre-authorization

How You'll Work.

Communication Scope

English communication

Full Job Description

**POSITION SUMMARY** : The incumbent in this role will support the clinical practice by focusing 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.). May also support the clinic with front-end customer service, patient registration, insurance/coverage verification, and a variety of administrative duties, as needed. 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.). **Position** : Ambulatory Service Representative II **Department** : Neurology **Schedule** : Full Time (40 hours, FT, 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 depart

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