Job Description

Extended Job Title
Patient Services Specialist-Authorizations (Internal Medicine)

Org Level 1
Texas Tech Unv Hlth Sci Ctr El Paso

Position Description

This position is responsible for assuring smooth operation of the clinic patient flow. Employees serve as primary contacts for patients and are responsible for scheduling appointments, preparing necessary paperwork before the patient visits, receiving patients, and maintaining records. In addition, this position is responsible for processing charges for clinic services, filing insurance claims, responding to requests for information from patients and insurance companies and maintaining related information for the department.



Requisition ID
29243BR

Optional Attachments
Transcript

Travel Required
Up to 25%

Major/Essential Functions
  • Insurance verification, obtains prior authorization for specialty office visits, diagnostic testing and procedures. Schedules hospital follow-up appointments, new visits, and visits for follow-up patients.
  • Obtains and verifies insurance coverage and financial information prior to scheduled appointment or procedure. Obtains authorization for specialty visits on a timely basis as to not need to reschedule patients. Ensures maximum billing is obtained by securing proper documentation and scanning
    into patients authorization EMR and Cbiz.
  • Calling patients, provides additional patient services as directed by supervisor.


Grant Funded?
No

Minimum Hire Rate
Compensation is commensurate upon the qualifications

Pay Basis
Hourly

Work Location
El Paso

Preferred Qualifications
  • Knowledge of Microsoft applications and 10 key experience preferred.
  • Must be bilingual (English/Spanish).
  • Experience in the following is preferred: Insurance verification and prior authorizations.
  • Knowledge of multi-specialist requirements for prior authorizations Insurance Portals Protocols and procedures and submitting prior-authorizations
  • Knowledge of regulatory and payer requirements for reimbursement and reason(s) for denials by auditors.
  • Ability to critically evaluate and make decisions about whether appeals should be made based on reviews of patient medical records.


Campus
HSC - El Paso

Department
Internal Medicine Elp Genl

Required Attachments
Cover Letter, Resume / CV

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
Information and Records Clerks

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
  • Education:  A minimum of a high school diploma or equivalent.
  • Experience:  One (1) year of customer service, office or related experience required.
  • Additional education may substitute for the experience requirement.


Does this position work in a research laboratory?
No

Navy Enlisted Classification Code
YN, HM

Air Force Specialty Code
3A1X1, 4A0X1

Marine Military Occupational Specialty Code
0111

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.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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