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network of support and care that touches the lives of hundreds of
thousands of people in need each year. It is the largest and
busiest provider of trauma and emergency services in New England.
Emphasizing community-based care, BMC is committed to providing
consistently excellent and accessible health services to all-and is
the largest safety-net hospital in New England. The hospital is
also the primary teaching affiliate of the nationally ranked Boston
University School of Medicine (BUSM) and a founding partner of
Boston HealthNet - an integrated health care delivery systems that
includes many community health centers. Join BMC today and help us
achieve our Vision 2030 which is a long-term goal to make Boston
the healthiest urban population in the world.
Position: Ambulatory Services Representative
Department: Vaccine Clinic in Mattapan
Mon, Wed, Fri, Sat: 8A - 4P
Tue, Thur: 8A - 8P (probably break this down to an 8 hour and 4
We will need about 6-10 people to cover the opening - shifts
will be about 4 or 8 hours all days except Sunday
The incumbent is responsible for coordinating all the functions
and activities related to patient access including, but not limited
to: front end customer service, patient registration,
insurance/coverage verification, appointment scheduling, charge
entry, billing and managed care, and a variety of administrative
duties in support of department (such as coordination of physician
credentialing, handling phones & mail, filling out forms, filing,
photocopying, faxing, preparing letters, reports, etc.).
ESSENTIAL RESPONSIBILITIES / DUTIES:
Focuses on one or more of the following areas, and provides
support as needed to optimize daily flow:
- Charge entry
- Batch controls
- Billing (TES) edits
- Hold bill edits
- Charge reconciliations
Billing and managed care functions (including responding to
billing inquires, corresponding with insurance carriers, and
investigating discrepancies, etc.).
Provides general administrative support to include, word
processing, spreadsheets, presentation software to create and edit
department documents and/or presentations.
Provides physician and departmental support such as managing
physician & manager calendars, scheduling physician & managers'
administrative appointments, answering departmental calls,
credentialing documents, etc.
In addition, performs a wide variety of administrative duties to
ensure proper functioning of assigned department including, but not
- Reception & customer service
- creating or verifying Master Patient Index (MPI)
- registration demographics
- visit management
- appointment scheduling (including consults, tests, in-office
procedures, follow-up visits and cross-booking interpreters, social
services, radiology, etc.)
- insurance/coverage verification
- co-payment collection
- front-end review and correcting registration & insurance
- pre-authorization, referral coordination and referral
- Referral work lists
Provides a variety of administrative duties in support of the
practice (such as handling phones & mail, filling out forms,
filing, photocopying, faxing, preparing letters, reports, etc).
Adheres to all of BMC's RESPECT behavioral standards.
HS/GED plus 3+ years relevant experience.
Bachelors degree or
Associates plus 1 year relevant experience
Experience with medical billing or similar setting
KNOWLEDGE AND SKILLS:
Excellent English communication skills (oral and written) and
interpersonal skills are required to interact with internal and
external contacts in a courteous and patient focused manner.
Demonstrated customer service skills, including the ability to
use appropriate judgment, independent thinking and creativity when
resolving customer issues.
Must be able to maintain strict confidentiality of all
personal/health sensitive information.
Ability to effectively handle challenging situations and to
balance multiple priorities.
Strong computer skills and knowledge of Microsoft Office
applications (MS Word, Excel, Access, PowerPoint) and web/internet
is required. Experience with standard hospital registration &
billing systems or ability to learn such systems is also