Ambulatory Service Representative - Ambulatory Sur

Description

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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 refers to 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 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 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 : PRN

Work Type : Per Diem As Needed