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Ambulatory Service Representative Location: US-TX-San Antonio Email this job to a friend
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Summary - Our client is seeking a "Ambulatory Service Representative" for their Imaging and Outpatient Ambulatory Surgery Center.
- The ideal candidate must be working in an Ambulatory settings unit, scheduling appointments for urgent care, verifying patient demographic and insurance details, verifying eligibility and prior-authorization.
- This will be a 12 weeks contract that comes with possible extensions.
Roles & Responsibilities - 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.
- 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
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