Boston Medical Center

Coordinate patient access functions, including registration and appointment scheduling. Verify insurance coverage and manage administrative tasks to support departmental operations while ensuring excellent customer service and confidentiality.

Title: Ambulatory Services Representative I Location: Boston United States Job Description: POSITION SUMMARY: The incumbent is responsible for coordinating all the functions and activities related to ambulatory patient access including, but not limited to: front end customer service, patient registration, insurance/coverage verification, appointment scheduling, charge entry, and a variety of administrative duties in support of department (such as, handling forms, phones, filing, making appointments, photocopying, faxing, mailings, letters, reports, etc.). Position: Ambulatory Services Representative I Department: Ambulatory Float Pool Schedule: Part Time (Rotate Day/Evening, Per-diem Position which requires a minimum of two shifts per month Monday-Friday regular business hours typically 8:00am - 4:30pm) ESSENTIAL RESPONSIBILITIES / DUTIES: Performs a wide variety of administrative duties to ensure proper functioning of assigned department including, but not limited to: - 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 edits - pre-authorization, referral coordination and referral reconciliation - Referral work lists Provides a variety of administrative duties in support of the practice (such as handling forms, phones, filing, making appointments, photocopying, faxing, mailings, letters, reports, etc.). Other related duties as needed. JOB REQUIREMENTS EDUCATION: - Associates degree (or equivalent) or - HS/GED plus at least two years relevant experience. EXPERIENCE: - Experience working in a clinical setting preferred. 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. - Basic computer skills and knowledge of Microsoft Office applications (MS Word, Excel & Outlook) and web/internet is required. Experience with standard hospital registration & billing systems or ability to learn such systems is also required. Compensation Range: $20.23- $24.65 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.

• Under the direction of the Cash Processing Manager and Director of Middle Revenue Cycle, responsible for maintaining the integrity of cash for both Boston Medical Center (BMC) and Boston University Medical Group (BUMG). • Ensure maximum efficiency and accuracy of accounts receivable balances through payment posting and credit and refunds oversight. • Monitor, work and assess various workqueues within the Electronic Health Record (EHR) system and work with IT to improve system workflow based on trends and patterns identified. • Develop policies and procedures, as well as supporting the business operations for assigned functions within the Revenue Cycle Operations team. • Provide support to all revenue generating departments on cash related issues in collaboration with departmental stakeholders, Revenue Cycle teams and Finance. • Perform month end tasks including, but not limited to, reconciliation, resolving issues, monitoring and clearing workqueues, and payment posting. • Partner with management by raising issues, understanding root cause and offering potential solutions. • Serves as a cash processing subject matter expert to internal and external team members. • Develop work plans and lead project timelines for small initiatives to complete assigned projects in the most timely and efficient manner possible. • Collaborate effectively with diverse groups of people and various service departments throughout the organization.

• Define and evolve the enterprise research strategy across the Health System, including clinical trials growth, research portfolio optimization, and financial performance improvement. • Identify and prioritize strategic opportunities aligned with institutional goals and market positioning on an ongoing basis. • Develop enterprise-level strategic roadmaps and actionable options for senior leadership consideration. • Lead the development of business cases, strategic options, and investment frameworks to inform executive decision-making. • Serve as a strategic advisor to the Chief Scientific Officer, Executive Director, and senior leadership on high-impact initiatives. • Translate complex institutional questions into clear, decision-oriented recommendations. • Conduct structured analyses of research operations, funding trends, financial performance, and governance models to inform strategic decisions. • Synthesize complex datasets and stakeholder inputs into clear, actionable insights and implications. • Identify and evaluate risks, trade-offs, and opportunities across the research enterprise. • Lead the development of executive-level presentations and materials for the Chief Scientific Officer, Senior Leadership Committee (SLC), and other governance forums. • Translate complex and ambiguous topics into clear, concise, and compelling strategic narratives for executive audiences. • Ensure consistency, accuracy, and clarity of messaging across all research strategy communications. • Lead structured problem-solving sessions and stakeholder engagements across research administration, clinical operations, compliance, finance, and academic departments. • Align diverse stakeholder perspectives into cohesive, enterprise-level strategic recommendations. • Navigate highly matrixed and ambiguous environments to drive alignment without direct authority. • Partner with the Director of Research Governance & Transformation to ensure strategies are positioned for effective execution. • Provide strategic clarity, prioritization, and framing for initiatives transitioning into execution phases. • Maintain clear separation between strategy ownership and execution accountability across initiatives.

• Assign appropriate codes to reflect all diagnoses and procedures extrapolated from physician documentation • Abstract required data to input into the Medical Center's computerized database • Converts patient visits into appropriate DRG assignments • Review patient medical records and abstract medical data • Code diagnoses, procedures, and appropriate modifiers • Assign grouper codes to each record • Enters coded/abstracted information in grouper • Maintain accuracy rate of 95% or better • Maintain productivity standards • Assist in training new personnel in department coding procedures

• Provide integrated support to patients and pharmacists • Managing and growing patient account base • Develop and grow trusting relationships with providers and hospital staff • Navigate patient Electronic Medical Record (EMR) • Resolve high level patient care issues • Provide outbound therapy/medication adherence check-ups • Building relationships with patients • Train and support new staff

• Lead the establishment and ongoing stewardship of Health System-wide research governance frameworks in partnership with CSO, IRB, Compliance, Privacy, and Legal to ensure regulatory alignment, clarify organizational responsibilities, and mitigate institutional risk related to human subjects research and data use. • Translate health system research strategy into institutional programs, governance structures, policies, and operational processes across the Research Enterprise. • Provide upstream guidance on feasibility, compliance, and data use considerations for research proposals, initiatives, and institutional priorities. • Develop and implement Health System dissemination strategies related to regulatory requirements, institutional policies, and processes. • Oversee CSO and RSP project management resources, including establishing standard operating procedures, tools, and resource deployment to prioritize and execute cross-functional research initiatives. • Lead strategy and alignment of research core facilities to ensure cohesive user experience, standardized processes, and coordinated operations. • Establish and oversee a centralized project management function (PMO Partner with leadership to operationalize strategic priorities through scalable systems, governance structures, and cross-functional coordination. • Convene and lead cross-functional stakeholders to align on policies, workflows, and operational standards across research administration, compliance, and data teams. • Identify opportunities to strengthen institutional research capabilities, improve governance alignment, and enhance coordination across the research enterprise. • Prepare strategic analyses, recommendations, and executive-level briefings for CSO and senior leadership regarding research initiatives, operational performance, regulatory considerations, and emerging institutional risks and opportunities.

• Monitor KPIs across assigned business line to identify trends, anomalies, and performance gaps • Conduct root cause analysis and develop hypotheses on drivers of performance change • Proactively surface insights to service line leaders — not waiting to be asked • Build and maintain Tableau dashboards that translate warehouse data into operationally actionable views • Pull and structure data from the enterprise data warehouse using existing tables and views • Develop executive-facing slides and briefs that tell a clear, concise performance story • Serve as an embedded analytical resource for assigned service line leaders • Translate business questions into analytical frameworks; translate findings back into business language • Support planning cycles, operational reviews, and ad hoc strategic requests from leadership • Collaborate with counterparts to align methodology, definitions, and reporting standards

• Leading the strategic optimization, financial performance, and operational execution of the health system’s 340B program • Developing and executing a system-wide 340B optimization strategy • Owning performance tracking of the 340B program • Overseeing operational processes supporting 340B • Evaluating and optimizing contract pharmacy network performance • Partnering closely with compliance leaders to ensure adherence to HRSA requirements • Collaborating with pharmacy operations, finance, compliance, and IT

• Support compensation and organizational design initiatives • Advance job architecture and leveling project • Partner with HR Business Partners and business leaders • Review, update, and standardize job descriptions across the organization