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How much do ambulatory service representative jobs pay per hour?

As of Aug 8, 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.

How do I become an Ambulatory Service Representative?

To become an Ambulatory Service Representative, candidates typically need a high school diploma or equivalent and strong communication skills. Relevant experience in healthcare or customer service is often preferred, and familiarity with medical terminology or scheduling software can be beneficial. Certification is not usually required but may enhance job prospects.

What are the key skills and qualifications needed to thrive as an ambulatory service representative?

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 is an ambulatory service representative?

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 August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, and 3% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $105,966 per year, or $50.9 per hour.

Ambulatory Services Rep II - Outpatient Ambulatory Welcome Desk

Texas Children's Hospital

Houston, TX

Full-time

Re-posted 19 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

79th of 1,055 rated hospitals

Job description

We're searching for an Ambulatory Services Representative II with our Outpatient Ambulatory Welcome Desk, 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 provide excellent customer service as the first contact for patients, providers and staff accessing virtual and/or non-virtual ambulatory clinics. May orient the patient to the virtual visit process to ensure patient success, if applicable.

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:

  • H.S. Diploma or GED required

  • Required 2 years' experience in customer service or 2 years clerical, medical office, or business experience preferably in a Healthcare environment

Responsibilities

  • Admission- Check-In/Welcome desk, PAR's, Registration, Past Pending.
  • Performs patient registration procedures per department process.
  • May ensure patient is oriented to the virtual visit process and has all technology set up to successfully complete their visit.
  • 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 clinic staff and providers of any changes or discrepancies in patient's scheduled appointment
  • Refers all patients with 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.
  • Maintains an organized filing system of current referrals in progress and already appointed, communicates all missed appointments to PCP and destroys missed referrals after one month.
  • Reviews new referrals with provider of the day regarding appropriate appointment status. Reviews provider schedule for open slots to appoint patients. Coordinates scheduling.
  • 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 in accordance with department processes
  • Insurance Authorization/Collecting cash & deposits
  • Charge Entry, Billing and Reconciliation
  • Customer Service and communication
  • Flowmaster and Room Management

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 Tower 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; Texas Children's Hospital The Woodlands, the first hospital devoted to children's care for communities north of Houston; and Texas Children's Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families. We have also created Texas Children's Health Plan, the nation's first HMO focused on children; Texas Children's Pediatrics, the largest pediatric primary care network in the country; Texas Children's Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world. Texas Children's Hospital is affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation. 

 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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