Coordinator (Orthopaedics/Alberta)

Extended Job Title
Coordinator (Orthopaedics/Alberta)

Org Level 1
Texas Tech Unv Hlth Sci Ctr El Paso

Position Description
Performs coordinative work in the operation of a specific program or departmental project. Work is performed under general supervision with evaluation based on results obtained. Discusses financial arrangements for all elective surgical procedures based on financial categories with patients in a professional courteous manner with strict adherence to HIPAA policies and guidelines. Verifies insurance benefits and obtains pre-authorizations or referrals for in patient and out-patient services as required by insurance carriers, and assures health plan requirements have been followed. Other related duties as requested by immediate supervisor. Documents the funding and insurance status on all surgical cases in EMR. Provides requested information to facilities, insurance companies and attorneys, etc. in a professional and courteous manner. Discuss deposits and deductibles with patients based on their financial classification for all surgical procedures. Efficiency with all calls streaming in through AVAYA phone/call system; avoiding any dropped calls. Documentation of patient information obtained from AVAYA into EMR for processing. Scanning and importing eFax into the EMR systems. Correcting and addition of FSCs into the CBIZ system.

Requisition ID
34933BR

Travel Required
None

Major/Essential Functions

• Discusses financial arrangements for any clinical procedures requiring financial authorization based on financial categories with patients in a professional courteous manner with strict adherence to HIPAA policies and guidelines
• Verifies insurance benefits and obtains pre-authorizations or referrals for in patient and out-patient services as required by insurance carriers, and assures health plan requirements have been followed
• Other related duties as requested by immediate supervisor
• Documents the funding and insurance status on all surgical cases in EMR
• Provides requested information to facilities, insurance companies and attorneys, etc. in a professional and courteous manner
• Discuss deposits and deductibles with patients based on their financial classification for all surgical procedures
• Efficiency with all call streaming in through AVAYA phone/call system; avoiding any dropped calls. Documentation of patient information obtained from AVAYA into EMR for processing
• Responsible for efficiently reviewing and processing ETM workflows for identified eligibility errors in our CBIZ system for correction/editing

Grant Funded?
No

Minimum Hire Rate
salary commensurate with related education, experience and/or skills

Pay Basis
Hourly

Work Location
El Paso

Preferred Qualifications
 

•  Knowledge in performing insurance verification for all commercial and government plans.
• Experience in obtaining insurance authorizations for office and or surgical procedures/ services.
• Knowledge of medical terminology, anatomy and physiology preferred. Education and or experience with insurance verification process and guidelines.
• Ability to communicate effectively with patients along with excellent written and oral communication skills.
• Ability to work closely and effectively with patients in a professional and courteous manner; working in a fast paced environment.

Campus
HSC - El Paso

Department
Clinical Operations ORTHO

Required Attachments
Resume / CV, Transcript

Job Type
Full Time

Pay Statement
Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as, the institutional pay plan. For additional information, please reference the institutional pay plan on the Human Resources webpage.

Job Group
Office and Admn Wkrs All Other

Shift
Day

EEO Statement
As an EEO/AA employer, the Texas Tech University System and its components will not discriminate in our employment practices based on an applicant’s race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information or status as a protected veteran.

Required Qualifications

• High school graduation plus five (5) years progressively responsible related experience
• Additional related education may exchange for required experience on a year for year basis

Does this position work in a research laboratory?
No

Navy Enlisted Classification Code
AZ, LS, MC, PS, RP, YN

Army Military Occupational Specialty Code
15P, 36B, 42A, 56M, 68J, 88H, 88N, 89A, 89B, 92A, 92Y

Air Force Specialty Code
3A1X1, 8A200

Marine Military Occupational Specialty Code
0111, 3372, 6046

Jeanne Clery Act
The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx.