Ambulatory Service Representative III - Woodlands

Explore Opportunities With Kelsey-Seybold Clinic

Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs.

Join us and discover the meaning behind Caring. Connecting. Growing Together.

Primary Responsibilities:

• Financial Reviewer
  - Performs detailed financial review including; reviewing patient notes. Determining payment source. Determining insurance eligibility and documenting information received by touch-tone and verification eligibility, fax and/or personal contact with insurance company. Reviewing outstanding balances, analyzing the reason for balance and communicating their findings, as needed, to the patient. Reporting discrepancies to the Patient Account Department or Central Business Office for correction.
  
  Utilizing good interpersonal skills when financially counseling patients regarding balances. Reviewing account notes. Documenting accounts to be collected at the time of service in EPIC, including outstanding balances, deductible status, and co-insurance/co-pay amounts to be collected. Documents corporate billing information in EPIC. Support the clinical practice by focusing on billing and managed care functions including charge entries, billing edits (work queues), charge reconciliations, responding to billing inquiries, corresponding with insurance carriers, investigating billing discrepancies, etc.
  
  May also support the clinic with front-desk customer service, patient registration, insurance/coverage verification, patient check in/check out processes
• Ambulatory Service Representative
  - Provides assistance to patients so that the patient can be processed quickly and efficiently and to ensure that accurate information is obtained and conveyed to the patient including; answering questions and providing suggestions for problem solving and implementing solutions. Assisting registration process or coordinating with the appropriate personnel, directing the patient to the appropriate person/department. Reports internal and external complaints to Coordinator, Supervisor or Clinic Administrator in a timely manner.
  
  Actively demonstrates call forwarding to/from the Contact Center at the scheduled times. Takes messages as needed in a complete, concise manner with all required information. Maintains an updated list of all physicians, departmental and internal extensions
• PBX Operator
  - Answers, screens, and directs incoming calls according to PBX standards and procedures. Provides assistance to patients so that patient inquiries can be processed quickly and efficiently to ensure that accurate information is obtained and conveyed to the patient including; referring patients to appropriate departments, relaying information regarding phone wait times, answering questions and providing assistance either directly or by referring them to the appropriate person/department.
  
  Reports internal and external complaints to Coordinator, Supervisor or Clinic Administrator in a timely manner. Actively demonstrates call forwarding to/from the Contact Center at the scheduled times. Takes messages as needed in a complete, concise manner with all required information. Maintains an updated list of all physicians, departmental and internal extensions
• Appointment Clerk
  - Schedules appointments in the computer system following clinic standards and procedures. Schedules ancillary appointments as directed by providers and processes surgeries and forms future appointments one day in advance of appointment or as directed by site management
• Medical Records Clerk
  - Retrieves and routes all incoming/requested medical records and files back on the appropriate rack to the requesting area as directed by site management. Participates record requests according to established site standards. Follows policy and procedures regarding patient…