Ambulatory Service Coordinator
7 days ago
Job Summary:
We are seeking a highly skilled Ambulatory Service Representative to join our team at CHRISTUS Health. In this role, you will be responsible for performing 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.
Key Responsibilities:
- Receive and direct phone calls from patients and physician offices, prioritizing appointments to foster optimum patient care and efficient utilization of physician's clinical staff.
- Schedule patients for treatment by multiple providers and treatment areas, arranging associated tests and procedures according to established guidelines and specific criteria.
- Handle urgent patient care calls, alerting providers to emergent patient care symptoms and concerns, and schedule urgent care appointments as needed.
- Confirm and verify patient demographic and insurance information, collect co-payments from patients upon arrival when applicable, and obtain signatures of consent from patient/guardian for treatment authorization and insurance/billing information.
- Collaborate with insurers to obtain patients' prior-authorizations for procedures and tests, following guidelines established by insurers to ensure pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits.
- Review and audit billing discrepancy reports, researching errors for resolution, and verify eligibility for procedures or tests from various health care institutions.
Requirements:
- High School Diploma
Work Type:
Full Time
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