Ambulatory Services Representative III - GenderCare Center

Boston Medical Center (BMC) is more than a hospital. Its a 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 III

Department: GenderCare Center

Schedule: Full Time, 40 Hours, Days

POSITION SUMMARY:

The Ambulatory Services Representative III is responsible for coordinating all the functions and activities related to patient access including, but not limited to: operation room (O.R.) scheduling, front end customer service, patient registration, insurance/coverage verification, appointment scheduling, prior authorization, patient trackers & other spreadsheets, and a variety of administrative duties in support of department (such as handling forms, phones, filing, photocopying, faxing, mailings, letters, reports, etc).

ESSENTIAL RESPONSIBILITIES / DUTIES:

Primarily responsible for bottom gender-affirming surgery caseload, including both patient tracking & scheduling of surgeries, as well as responding to patient inquiries via phone, email and MyChart.

• Processes prior authorization and pre-certification for both surgeries and hair removal/in-office procedures.
• Coordinates behavioral health letters of support & medical clearance documentation.
• Schedules surgeries as well as preop & postop mandatory appointments.
• Under the Program Manager, ensures OR block time utilization is maximized.
• Processes referrals both to the Center and from the Center to other specialties at our hospital

In addition, performs a wide variety of administrative duties to ensure proper functioning of assigned department, including, but not limited to:

• Reception & customer service
• 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 edits
• Pre-authorization, referral coordination and referral reconciliation
• Referral work lists
• Provides general administrative support to include, word processing, spreadsheets, presentation software to create and edit department documents and presentations; handling forms, phones, filing, making appointments, photocopying, faxing, mailings, etc.
• Other relevant duties as needed.

JOB REQUIREMENTS

EDUCATION:

Bachelor's degree plus 1 - 2 years relevant work experience or
Associates degree plus at least 3 years relevant experience or
HS/GED with 5+ years relevant experience.

EXPERIENCE:

Included within Education.

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.
• Bilingual: Spanish or Portuguese preferred
• 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 required.

Compensation Range:

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, and licensure/certifications directly related to position requirements. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), contract increases, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.

Equal Opportunity Employer/Disabled/Veterans

According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or "apps" job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.