Ambulatory Services Rep II - TCH Woodlands

Position: Ambulatory Services Rep II - TCH Woodlands

Job ID: 164827

Location: US-TX-The Woodlands


Talent Area: Administrative Support

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a - 4:30pm

About Texas Children's Hospital

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.   Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, the first hospital devoted to children’s care for communities north of Houston. We have also created the nation’s first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.   To join our community of 14,000+ dedicated team members, visit for career opportunities. You can also learn more about our amazing culture at   Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.


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.


Think you’ve got what it takes?


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


  • High School Diploma or GED
  • Two (2) years of experience in customer service
  • Healthcare and/or Pediatric experience preferred
  • Knowledge of medical terminology, insurance terminology and customer service concepts

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