Patient Services Specialist (Pediatrics)

Extended Job Title
Patient Services Specialist (Pediatrics)

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 may 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. Employees may have cash handling responsibilities.

Requisition ID
32761BR

Travel Required
None

Major/Essential Functions

• Maintains familiarity and compliance with institution policies and procedures as they pertain to patient registration and eligibility
• Cross training in all clinic Pods
• Verifies and updates Medicaid/Medicare/Insurance information through TMHP and insurance websites, for eligibility and benefits while maintaining patients files accurately
• Pre-Certification and/or authorization for all procedures and office visits. Serve a liaison to third party payers to provide information on pending services in order to avoid denials
• Answers incoming requests from patients, and staff regarding eligibility and covered benefits.  Collects patient payments for services rendered prior to patient being seen. Generates reconciliation report and turns in report and monies to Sr. PSS at end of work shift

Grant Funded?
No

Minimum Hire Rate
Compensation is commensurate upon the qualifications

Pay Basis
Hourly

Schedule Details
Willing to work extended hours M-F 5 pm to 10 pm and on all Saturdays and some Holidays from 10 am to 4 pm

Work Location
El Paso

Preferred Qualifications

• Electronic Medical Records and Centricity knowledge
• Phreesia; RMS/ Health Plan Web Portals
• Bilingual (English/Spanish)
• Knowledge of Insurance Health Plans and Network Provider enrollment

Campus
HSC - El Paso

Department
Pediatrics Elp

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
Executive and Admin Assistants

Occasional Duties

• Performs other related duties as assjgned by immediate supervisor to include staffing in all PSS areas as needed
• Completes institutional trainings with in established guidelines

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

• A High School diploma or equivalent
• 1 year Customer Service, office or related experience
• Additional education may substitute for the experience requirement

Does this position work in a research laboratory?
No

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