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Job description
Ambulatory Service Representative - Pediatrics GI - US:TX:San Antonio | Ambulatory Services | Full TimeSummary: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.Responsibilities:Receives and directs phone calls from patients and physician officesSchedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteriaPrioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilitiesHandles urgent patient care calls and may alert providers to emergent patient care symptoms and concernsSchedules urgent care appointments as needed and directed by physicianGreets patients for scheduled and/or urgent care appointments and proceduresConfirms and verifies patient demographic and insurance informationCollect co-payments from patients upon arrival when applicableObtains signatures of consent from patient/guardian for treatment authorization and insurance/billing informationCollaborates with insurers to obtain patients' prior-authorizations for procedures and tests as neededFollows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits.Verifies eligibility for procedures or tests from various health care institutionsReviews and audits billing discrepancy reports and researches errors for resolutionMaintains accurate and timely records, logs, charges, files, and other related information as requiredPerforms a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staffPrepares special reports or spreadsheets for physicians as requestedComplies with established departmental policies, procedures and objectivesComplies with all health and safety regulations and requirementsContributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitorsPerforms other duties as required.Requirements:A. Education/SkillsHigh School Diploma or GEDProficient in software and computer systemsKnowledgeable of business office terminology / proceduresAbility to multi task and work under stressful situationEffective written and verbal communication skillsB. Experience1+ year of customer service experience requiredExperience with medical office terminology preferredWork Schedule:5 Days - 8 HoursWork Type:Full Time
Worksite address
san antonio, TX, 78201, US
Who can apply
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