Ambulatory Services Representative, 40 Hours, Audiology Clinic

Are you a current UMass Memorial Health caregiver? Apply now through Workday.

Non-Exempt

$20.94 - $29.27

Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations.

Monday through Friday

8am-4:30pm

1 - Day Shift, 8 Hours (United States of America)

40

10013 - 4062 Audiology

SHARE (State Healthcare and Research Employees)

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.

• 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.
• Assesses 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.
• Maintains accurate and timely records, logs, charges, files, and other related information as required.
• Performs a variety of related administrative and clerical duties, such as retrieving files, distributing mail and other records, faxing, collating, data entry, and relaying messages to clinicians, residents and staff.
• May prepare special reports or spreadsheets for clinicians as requested.
• Collects co-payments from patients for visits, maintains records or makes daily cash deposits from patient visits.
• Calculates daily totals of co-payments received for submission to the second tier for co-payment reconciliation.
• Composes, or selects standard form letters for clinician's response to routine inquiries and procedures, such as back-to-school authorizations.

• Required: High School Diploma.
• Preferred: Associate's or Bachelor's degree.

• Required: 3 years of related…