Ambulatory Service Representative - Alamo Heights Surgery Center

Ambulatory Service Representative - Alamo Heights Surgery Center at Christus Health summary:

The Ambulatory Service Representative coordinates patient scheduling, handles urgent care appointments, and manages administrative duties including insurance verification and billing support in an outpatient surgical center. They assess patient needs, facilitate communication between patients and providers, and ensure compliance with insurance requirements such as prior authorizations. The role requires strong organizational skills and patient interaction in a healthcare setting to optimize provider utilization and patient care delivery.

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:

6:30AM - 3PM

Work Type:

Part Time

Keywords:

ambulatory care, patient scheduling, medical billing, insurance verification, prior authorization, patient services, urgency management, healthcare administration, medical procedures coordination