Ambulatory Services Representative

Ambulatory Services Representative

Department : Olive Branch Pediatrics

Location : Plano, TX

Shift : Monday-Friday, 8 AM-5 PM

Job Type : On-Site

Summary :

Conduct the scheduling, registering and financial process initiation for out-patient appointments within the ambulatory clinics. This position is accountable for delivering excellent customer service, obtaining accurate information for the beginning process of the financial system, and accurately scheduling patients with the most appropriate service and provider. Results expected are patient and provider satisfaction, in addition to complete, accurate data for appropriate financial outcomes.

Responsibilities :

• Receive appointment requests
• Identify existing medical record number (MRN) or create new MRN
• Obtain correct demographic information as related to insurance information, etc.
• Determine in / out of network, uninsured, under-insured, need for financial counseling
• Offer financial screening to patient / payer
• Triage / prioritize initial patient diagnosis referral using standard operating procedures
• Complete and manage work queues in Epic
• Review hospital services and hospital account record (HAR) accuracy
• Register donors and research participants
• Monthly review of daily account record (DAR) for Medicaid mismatches, research and obtain valid insurance authorization or refer to financial counseling
• Obtain authorizations for admissions, liaise with access center
• Facilitate diagnostic and ancillary scheduling
• Review existing pre-visit orders, link when necessary
• Check patients in / out
• Make follow up appointments
• Prepare and distribute new patient reminder letters
• Organize and prepare patient packets, schedules, etc. for upcoming days activities
• Apply (drop) charges in system to support clinic financial statistics
• Complete daily provider utilization grid
• Warm call reminders regarding upcoming appointment(s)
• Collect co-pay amounts from patient guardians
• Order supplies for clinic or department

Work Experience :

At least 1 year customer service or outpatient-related scheduling experience required

Education :

High school diploma or equivalent required

A Place Where You Belong

We put our people first. We welcome, value, and respect the beliefs, identities, and experiences of our patients and colleagues. We are committed to delivering culturally effective care, creating meaningful partnerships in the communities we serve, and equipping and developing our team members to make Childrens Health a place where everyone can contribute.

Holistic Benefits How Well Care for You :

As an equal opportunity employer, Childrens Health does not discriminate against employees or applicants because of race, color, religion, sex, gender identity and expression, sexual orientation, age, national origin, veteran or military status, disability, or genetic information or any other Federal or State legally-protected status or class. This applies to all aspects of the employer-employee relationship including but not limited to recruitment, hiring, promotion, transfer pay, training, discipline, workforce adjustments, termination, employee benefits, and any other employment-related activity.