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$192

How much do ambulatory service representative jobs pay per hour?

As of Jul 7, 2026, the average hourly pay for ambulatory service representative in the United States is $50.95, according to ZipRecruiter salary data. Most workers in this role earn between $20.91 and $25.72 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Ambulatory Service Representative, and why are they important?

To thrive as an Ambulatory Service Representative, you need strong organizational skills, attention to detail, and experience with patient scheduling and registration, often supported by a high school diploma or equivalent. Familiarity with electronic medical records (EMR) systems, insurance verification tools, and standard office software is typically required. Outstanding interpersonal skills, professionalism, and the ability to multitask in a fast-paced environment help individuals excel in this role. These skills and qualities are vital to ensure efficient clinic operations, accurate patient information handling, and a positive patient experience.

What is the difference between Ambulatory Service Representative vs Medical Office Assistant?

AspectAmbulatory Service RepresentativeMedical Office Assistant
CredentialsHigh school diploma; some roles may require certification in medical billing or codingHigh school diploma; certification in medical assisting often preferred
Work EnvironmentOutpatient clinics, physician offices, ambulatory care settingsMedical offices, clinics, outpatient facilities
Job ResponsibilitiesPatient scheduling, insurance verification, front desk dutiesPatient intake, appointment scheduling, basic clinical tasks

Both roles involve patient interaction and administrative tasks in outpatient settings. The Ambulatory Service Representative primarily focuses on scheduling and insurance, while the Medical Office Assistant may perform additional clinical support. Understanding these differences helps in choosing the right career path in healthcare administration.

What are Ambulatory Service Representatives?

Ambulatory Service Representatives are healthcare professionals who work in outpatient clinics or medical offices, providing administrative and front-desk support to ensure smooth patient flow. Their responsibilities typically include greeting patients, scheduling appointments, verifying insurance information, and handling patient records. They serve as a key point of contact between patients and medical staff, helping to answer questions, resolve issues, and maintain a welcoming environment. Strong communication, organization, and customer service skills are essential for this role.

What are some common challenges faced by Ambulatory Service Representatives, and how can they be managed effectively?

Ambulatory Service Representatives often encounter challenges such as managing a high volume of patient interactions, handling sensitive information with confidentiality, and adapting to changes in scheduling or clinic workflows. Effective time management, strong communication skills, and familiarity with electronic health record systems are essential for managing these demands. Building positive relationships with both patients and clinical staff can also help create a supportive work environment and streamline daily operations.
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Ambulatory Service Representative jobs near you
Infographic showing various Ambulatory Service Representative job openings in the United States as of July 2026, with employment types broken down into 4% As Needed, 81% Full Time, 14% Part Time, and 1% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $105,966 per year, or $50.9 per hour.
Lead Ambulatory Service Representative

Lead Ambulatory Service Representative

Texas Children's Hospital

Conroe, TX • On-site

Full-time

Posted 12 days ago

Texas Children's Hospital rating

8.3

Company rating: 8.3 out of 10

Based on 174 frontline employees who took The Breakroom Quiz

74th of 1,004 rated hospitals

Job description


We're searching for a Lead Ambulatory Service Representative, someone who's ready to be part of the best ranked children's hospital in Texas, and among the best in the nation. In this position, you will work directly with licensed providers or a group of providers in a virtual or non-virtual care setting. The Lead Ambulatory Services Representative assists the care team by coordinating complex patient care activities, administering the patient scheduling system for the designated provider(s) and supporting patient flow and serving as an expert or MD liaison for clinic unlicensed functions and patients/families.
Think you've got what it takes?
Job Duties & Responsibilities
  • Conducts patient admission process, including check-in/welcome desk, PAR's, registration, past pending.
  • May ensure patient is oriented to the virtual visit process and has all technology set up to successfully complete.
  • Performs patient registration procedures per department process.
  • Ensures that all necessary patient forms are provided and filled out for the clinic visit
  • Communicates with patients, staff and providers regarding patient arrivals, delays, and clinic processes.
  • Alerts staff and providers of any changes or discrepancies in patient's scheduled appointment
  • May refer all patients with no or inadequate funding to the financial counselor with zero reported complaints.
  • Changes status of all appointments daily to reflect arrived, cancelled, no-show, or rescheduled status.
  • May maintain an organized filing system of current referrals in progress and already appointed, communicates all missed appointments to PCP and destroy missed referrals after one month.
  • May review new referrals with provider of the day regarding appropriate appointment status. Reviews provider schedule for open slots to appoint patients. Contact Central Scheduling with parents to schedule an appointment.
  • Assists, as needed, licensed staff with the non-financial aspects of the inpatient admission process, e.g., calls escort, helps with paperwork as needed.
  • May perform closing procedures (i.e. - reconciling fee receipts, completing deposit notification forms, reconciling petty cash, balancing the credit card machines, completing batch reports for Texas Children's and Baylor, making deposits) in accordance with department processes.
  • Provides insurance authorization and collection of cash and deposits for hospital.
  • Coordinates schedules for clinic.
  • Performs charge entry and reconciliation.
  • Provides appropriate customer service and communication to patients and families.
  • Provides basic office support which may include ordering and maintaining office/clinic supplies; maintaining office equipment; managing correspondence; copying, faxing, mailing and filing documents; and collecting and distributing mail.
  • Ensures efficient patient flow and room management.
  • Assists in guiding the work of the Ambulatory Services Representatives and Senior Ambulatory Services Representatives.

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.
Skills & Requirements
  • Required H.S. Diploma or GED
  • Required 3 years' Experience in a healthcare setting with preferred pediatric and supervisory experience

About Us
Texas Children's Hospital The Woodlands is north Houston's first true, free-standing pediatric hospital designed, equipped and staffed exclusively to provide care in more than 25 areas of specialty care for children and adolescents. Hospital facilities include 24 emergency center rooms, outpatient exam rooms, radiology rooms, operating rooms and acute care beds, as well as a pediatric intensive care unit (PICU).
To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.
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.

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