Ambulatory Services Representative

Administrative/Clerical Worcester, Massachusetts


Description

Position at UMass Memorial Medical Center



At UMass Memorial Health Care, Everyone is a Caregiver regardless of title. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health care system of Central and Western Massachusetts, and a place where we can help you build the career you deserve. We are more than 14,000 employees, working together as one health care system. And everyone, in their own unique way, plays an important part, everyday.


Requisition #: 191906
Title: Ambulatory Services Rep
Department: Sports Medicine
Grade: ADM6
Posting Date: February 20, 2019
Status: Non-Exempt
Shift: Mixed
Union: Non-Union
Hours: As Needed Per Diem
Shift Length: 8 hours
Location: UMass Memorial Medical Center – University Campus

Start time between 7:15-8:30a based on the needs of the clinic.
Wednesdays 8:30-5p

Position 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.

Position Qualifications:

High School Diploma and 3+ years of related experience. Requires the ability to use specialized applications software and computer systems. Knowledge of business office procedures and medical terminology/procedures preferred. Necessitates individuals who are multifunctional and able to work under stressful situations. Exemplifies, professional behavior and excellent communication and human relations skills.

Major 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 according to department protocol. May alert providers to emergent patient care symptoms and concerns. 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 physician.
  • Ensures tests and procedural prep information is provided to patients both verbally and by mail as necessary. Arrives and greets 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. Assess patients’ needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area.
  • 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. Complies with referral management regulations established for primary care providers. Verifies eligibility for procedures or tests from various health care institutions. Follows up to correct discrepancies.

Standards of Respect:


We’re striving to make respect a part of everything we do at UMass Memorial – for our patients and for each other. We’re expecting that our new caregivers practice our six Standards of Respect: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player, and Be Kind, to help us make respect a part of how we take care of business everyday.