Company
Healthcare
AmbulatoryServicesRepresentativeII
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Ambulatory Services Representative II. Skills: Billing, Managed care, Patient access, Administrative support. Support clinical practice. Focus on billing and managed care functions”
Industry & Context.
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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