Ambulatory Service Representative - Business Office

Ambulatory Service Representative - Business Office at Christus Health summary:

The Ambulatory Service Representative handles complex administrative tasks in an outpatient medical setting, including scheduling appointments, coordinating tests and procedures, and managing urgent patient care communications. They assist patients with financial counseling, insurance verification, and obtain necessary authorizations while ensuring accurate record-keeping and billing processes. The role supports efficient patient flow and resource utilization, acting as a liaison between patients, providers, and insurers.

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 refer to the 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 the 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 the 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
• Reviews and audits billing discrepancy reports and researches errors for resolution
• Verifies eligibility for procedures or tests from various health care institutions.
• Maintains accurate and timely records, logs, charges, files, and other related information as required

Requirements:

• High School Diploma

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time

Keywords:

ambulatory care, patient scheduling, medical billing, insurance authorization, urgent care coordination, patient services, healthcare administration, financial counseling, medical office support, healthcare communication