Ambulatory Service Rep Job Southbridge area,Massachusetts USA,Healthcare

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health?

Exemption Status:

Non-Exempt

Hiring Range:

$16.54 - $29.76

(based on a full time schedule of 40 hours per week).

Please note that the final offer will vary based on scheduled hours. Compensation for part-time or reduced schedules will be prorated based on scheduled weekly hours, experience, skills, qualifications, and internal equity considerations.

Schedule Details:

Friday, Monday, Wednesday

Scheduled

Hours:

7-3:30pm

Shift:

1 - Day Shift, 8.5 Hours (United States of America)

Hours:

Cost Center:

25080 - 5662 OP Registration

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other.

And everyone, in their own unique way, plays an important part, every day.

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.

I. Major Responsibilities:

Greets visitors and/or patients for scheduled and/or urgent care appointments and procedures.

Confirms and verifies patient demographic and insurance information.

May collect co-payments from patients upon arrival.

Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information.

Assess patients’ needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area.

Receives and directs phone calls.

Connects the patient’s call to the provider or responds to the patient and takes messages as directed.

Schedules urgent care appointments as needed and directed by clinicians.

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 clinical staff, as well as resources.

Ensures tests and procedural prep information is provided to patients verbally, mail, and/or by the patient portal as necessary.

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 clinician referrals for treatment are obtained prior to patient visits.

Complies with referral management regulations.

Verifies eligibility for procedures or tests from various health care institutions.

Follows up to correct discrepancies.

May facilitate patient prescription renewal matters, (via telephone, fax, and email), within scope of authority as directed by clinicians.

Preps the patient’s information for clinicians for scheduled patient visits as needed.

Scrubs Patient Encounter information and submits electronically.

Reviews and audits billing discrepancy reports and researches errors for resolution as directed by office or clinical management.

M…