Ambulatory Services Rep II - Outpatient Infusion Center

We are searching for an Ambulatory Services Representative II  at the Woodlands location- someone who works well in a fast-paced hospital setting. In this position, you’ll make routine decisions include taking action to prevent and reduce customer service complaints that could affect clinic patient flow.

“As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards.”

Think you’ve got what it takes?

Qualifications

• High School Diploma or GED
• Two (2) years of experience in customer service required
• Healthcare and/or Pediatric experience preferred

Responsibilities

• Performs patient registration procedures per department process
• Ensures that all necessary patient forms are provided and filled out for the clinic visit
• Communicates with patient, staff and providers regarding patient arrivals, delays and clinic processes
• Alerts clinic staff and providers of any changes or discrepancies in patient’s scheduled appointment
• Obtains and verifies patient demographic data for each encounter
• Maximizes collection by reviewing patient notes for amounts quoted during pre-admission process and collects for non pre-admitted services as appropriate
• References Hospital contractual agreements with insurance companies to obtain authorization for services
• Verifies insurance benefits and identifies correct plan codes that drive reimbursement (i.e., Capitated allowance vs. per diem or discount of charges.)
• Schedules new or follow up appointments for patients
• Confirms patient appointments, verifying patient demographics and insurance information
• Advises the patient/parent of insurance responsibilities, such as the need to obtain primary care physician referrals if insurance requires them
• Refers in-depth financial questions to the appropriate staff
• Ensures that interpreter services are available for patients as needed
• Coordinates communications in a friendly, professional, and timely manner
• Communications to include phone calls, pages, faxes, etc. from internal and external customers

About Texas Children’s