Ambulatory Services Representative III-U- Surgical Oncology

Position Summary

The incumbent is responsible for coordinating all the functions and activities related to patient access including, but not limited to: operation room (O.R.) scheduling, front end customer service, patient registration, insurance/coverage verification, appointment scheduling, charge entry, and a variety of administrative duties in support of department (such as coordination of physician credentialing, handling forms, phones, filing, making appointments, photocopying, faxing, mailings, letters, reports, etc.).

Ambulatory Services Representative III-U

Surgical Oncology

Full Time –

Hours:

Monday-Friday 8:00AM-4:30PM

Primarily responsible for Surgical scheduling for all departmental cases including all pre‑op appointments and other applicable procedure scheduling.

• Processes prior authorization and pre‑certification work lists and reconciliations for operative cases (urgent and emergent).
• Coordinates medical clearance documentation.
• Manages physician OR calendars.
• Manages OR block time and ensures utilization is maximized.
• Cancels blocks within 30 days.
• Notifies Pre‑Surgical Services of changes in physicians or patients' schedules.
• Schedules pre‑op appointments and surgeries.
• Requests medical records for upcoming clinic visits as well as assists with uploading images from radiology discs.

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.
• Billing charge entry.
• Batch controls.
• Billing (TES) edits.
• Hold bill edits.
• Charge reconciliations.
• Billing and managed care functions.
• Provides physician and departmental support such as managing physician & manager calendars, scheduling physician & managers' administrative appointments, handling or routing calls to the department, verifying credentialing documents, etc.
• Provides general administrative support including word processing, spreadsheets, presentation software to create and edit department documents and presentations; handling forms, phones, filing, making appointments, photocopying, faxing, mailings, etc.
• Other relevant duties as needed.

• Bachelor’s degree plus 1–2 years relevant work experience.
• Associate’s degree plus at least 3 years relevant experience.
• HS/GED with 5+ years relevant experience.

• Excellent English communication skills (oral and written) and interpersonal skills to interact with internal and external contacts in a courteous and patient‑focused manner.
• Demonstrated customer service skills, including the ability to use appropriate judgment, independent thinking and creativity when resolving customer issues.
• Must maintain strict confidentiality of all personal/health sensitive information.
• Ability to effectively handle challenging situations and balance multiple priorities.
• Strong computer skills and knowledge of Microsoft Office applications (MS Word, Excel, Access, PowerPoint) and web/internet.
• Experience with standard hospital registration & billing systems or ability to learn such systems.

$24.86–$30.30

Equal Opportunity Employer/Disabled/Veterans