Sr Patient Services Specialist (Clinical Affairs-RMS)

Extended Job Title
Sr Patient Services Specialist (Clinical Affairs-RMS)

Org Level 1
Texas Tech Unv Hlth Sci Ctr El Paso

Position Description
This position is responsible for assuring smooth operation of the front 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 be responsible for cash.

Requisition ID
33184BR

Optional Attachments
Transcript

Travel Required
None

Major/Essential Functions

• Greets patients, performs registration of patients, to include updates of demographic data, financial data, insurance information and any other third party payor information.  Photocopy of insurance cards and picture ID. Arrives patient in Centricity Business system for daily report
• Receives all incoming telephone calls through the AVAYA system for Clinic, screens and directs to staf£'faculty as appropriate
• Schedules patient appointments. Cancels and re-schedules appointments according to changes on physician's schedules in Centricity Business
• Cancels, reschedules, and creates new clinic schedules as needed
• Prepares and prints arrive/no show report
• Performs discharge procedure, schedules patients for return visit, and collects fees accordingly
• Verifies Medicare, Medicaid, and all third party carrier coverage prior to patient's appointment. Obtains pre-authorization or pre-certification for coverage of office visit or surgical procedure with appropriate ICD-10 and CPT codes needed
• Prepares daily deposit, obtains departmental approval and submits deposits to MPIP Department
• Negotiates deposits and/or deductibles for all elective procedures based on patient's financial category
• Daily communication regarding appointments, clinic visits, patient education and requirements, issues with supervisor, physicians/providers and patients.  Notifies supervisor of any changes in daily appointments and keeps her informed of all patient issues pertaining to schedules
• Performs other work related duties as determined by the Clinic Manager

Position Specific Qualifications:
Five years of office experience with 2 years in medical environment or 3 years work experience at TTUHSC in the Patient Service Program

Grant Funded?
No

Minimum Hire Rate
Compensation is commensurate upon the qualifications

Pay Basis
Hourly

Work Location
El Paso

Preferred Qualifications

• Knowledge of medical terminology, coding procedures, CPT and ICD-10, billing functions, cashier and data entry
• Familiar with Centricity Business (CBiz), Electronic Medical Record (EMR), Phreesia, Referral Management System (RMS), Cemer and AVAYA phone systems

Campus
HSC - El Paso

Department
Assc Dean Clinical Affairs Elp

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

• A minimum of a high school diploma or equivalent
• Three (3) years of customer service, office or related experience required with (2) two years of the experience in a healthcare setting
• 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