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UMass Memorial Health · 2 hours ago

Lead Ambulatory Service Representative, OBGYN and CWC, 40 Hours, Days

Worcester, MA

Full-time

Onsite

Mid, Senior Level

$22.29/hr - $36.69/hr

4+ years exp

UMass Memorial Health is a premier health system in Central Massachusetts, committed to exceptional patient care and academic excellence. The Lead Ambulatory Service Representative oversees a group of employees while performing complex administrative duties to ensure efficient patient scheduling and care coordination.

DiabetesEducationHealth CareHospitalMedicalPersonal Health

H1B Sponsor Likely

Responsibilities

Receives and directs phone calls from patients and physician offices. Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria. Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician's clinical staff, as well as equipment and facilities

Handles urgent patient care calls according to department protocol. May alert providers to emergent patient care symptoms and concerns. Connects the patient's call to the provider or responds to the patient and takes messages as directed. Schedules urgent care appointments as needed and directed by physician

Ensures tests and procedural prep information is provided to patients both verbally and by mail as necessary. Arrives and greets patients for scheduled and/or urgent care appointments and procedures. Confirms and verifies patient demographic and insurance information. May collect co-payments from patients upon arrival. Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information. Assess patients' needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area

Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed. Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. Complies with referral management regulations established for primary care providers. Verifies eligibility for procedures or tests from various health care institutions. Follows up to correct discrepancies

May facilitate patient prescription renewal matters,( via telephone, fax, and email), within scope of authority as directed

Distributes and monitors the flow of work for an assigned group of employees. Provides training and technical assistance to employees within the assigned work area. Assists supervisor in assuring that assigned employees are provided with appropriate resources, materials, and methods. Provides recommendations to manager or supervisor for the most efficient utilization of assigned personnel. Relays work instruction from the supervisor

Complies with established departmental policies, procedures, and objectives

Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors

Attends variety of meetings, conferences, and seminars as required or directed

Demonstrates use of quality improvement in daily operations

Complies with all health and safety regulations and requirements

Maintains, regular, reliable, and predictable attendance

Performs other similar and related duties as required or directed

Qualification

Patient schedulingInsurance verificationMedical terminologyLeadership skillsProblem-solving abilityMultifunctional abilitySpecialized software useInterpersonal skillsOrganizational skillsCommunication skills

Required

High School Diploma

4+ years of related experience

Ability to work independently with minimal supervision and lead and train a group of employees

Excellent oral, written and interpersonal skills, proven organization skills and problem-solving ability

Ability to use specialized applications software and computer systems

Necessitates individuals who are multifunctional and able to work under stressful situations

Preferred

Knowledge of business office procedures and medical terminology/procedures

Benefits

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Company

UMass Memorial Health

Glassdoor4.0

UMass Memorial Health is the health and wellness partner of the people of Central Massachusetts.

Founded in 1999

Worcester, Massachusetts, USA

10001+ employees

https://www.ummhealth.org

H1B Sponsorship

UMass Memorial Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2025 (2)

2023 (2)