Job Description

Extended Job Title
Sr Patient Services Specialist

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 and serve as primary contacts for patients. 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. Ability to communicate effectively with a variety of people. Ability to understand and follow instructions. Work is performed in usual clinic conditions and requires a high degree of direct contact with patients, HSC staff, and insurance companies. Employees have cash handling responsibilities.

Requisition ID
23733BR

Travel Required
Up to 25%

Major/Essential Functions
  • Receives incoming patient telephone calls through the AVAYA system, screens, handles and directs to staff/faculty as appropriate. 
  • Performs registration of patients, to include demographic data, financial data, insurance information and any other third party payor information. 
  • Maintains optimal, daily scheduling, assures no conflict in physicians schedules and confirms appointments by phone. Schedules patient appointments for office visit, surgical procedures, or O.R. Maintains O.R. schedule for physician. 
  • 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.
  • Contact patients vis telephone to remind them of surgical procedures and deposits owed. Negotiates deposits and/or deductibles for all elective procedures based on patient's financial category.
  • On a daily basis serves as primary contact for patients by receiving them when they arrive to clinic. Prepares exam rooms. Greets all patients, takes a brief history for physician to review. Takes vital signs as needed, escorts patients to exam rooms and prepares them for examination by physician. Per direction from physician, provides wound care and dressing changes and instructions to patients.
  • Reviews medical charts for completeness prior to patient's arrival and obtains all pertinent reports/documents (lab, path reports, operative reports, discharge summaries, mammogram results and x-ray reports). 
  • Prepares patients for special procedures to include minor surgery, reinforces consent form for surgical procedures and obtains signature. Assists physician in minor surgical procedures (serving as scrub or circulator). Prepares specimens for lab and takes to UMC Pathology Department. 
  • Prepares patients for history and physical. Reinforces consent form for surgical procedure and obtains signature. 
  • After minor surgical procedure, cleans and prepares instruments for sterilization. 
  • Follows-up with patients to return to clinic once results of labwork or recommended studies are obtained. Contact patients for surgical procedures scheduling or treatment.
  • Provides patients with pertinent education related to treatment such breast self-examination, but not limited to recommendations and other educational material available in clinic.   
  • Perform other work related duties as requested by Assistant Director, Head Nurse, or Sr. CMA.
  • Assist in covering other clinics within the Surgery Dept. Attend community health fairs, annual fund-raising activity, provide training to medical assistants/students, represent Surgery Dept. Clinics at any TTUHSC committees and/or meetings. 
Position Specific Qualifications
Five years of office experience with 2 years in medical environment or 3 years work experience at TTUHSC in the Patient Services Program. 

Grant Funded?
No

Minimum Hire Rate
13.41

Pay Basis
Hourly

Work Location
El Paso

Preferred Qualifications
Preferred Knowledge, Skills and Abilities
Knowledge of medical terminology, coding procedures, CPT and ICD-10, billing functions, cashier and data entry. Familiar with GE Centricity Business (CBIZ)., Electronic Medical Record (EMR), Referral Management System (RMS), Cerner and AVAYA phone system. Ability to communicate effectively in English/Spanish. Familiar with sterile/scrub technique. 

Campus
HSC - El Paso

Department
Surgery Dept Elp Genl

Required Attachments
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
Experience:  Three (3) years of customer service, office or related experience required; prefer 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

Application Instructions

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