Sr Patient Services Specialist- Managed Care
40116BR
Ortho Surgery Dept Lbk Genl
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.
InstititutionTexas Tech Univ Health Sciences Ctr
Campus
HSC - Lubbock
Major/Essential Functions
- Receives, processes and schedules referrals to the clinic.
- Obtains insurance authorizations when needed.
- Assist with workers' compensation referrals.
- Verifies insurance coverage for referrals and established patients.
- Assists with calculating and collecting out-of-pocket expenses.
- Assists with authorization for surgery and testing.
- Maintains up-to-date knowledge of payer requirements and coverage.
- Communicate effectively with nurses, providers and other staff on referrals, authorizations and payer requirements.
- Proactively assist other staff and providers as needed.
High school diploma or equivalent. 3 years Customer Service, office or related experience, with 2 of those years in a healthcare setting preferred. Additional education may substitute for the experience requirement.
Preferred Qualifications- Experience in a medical office setting with insurance verification, authorizations and referrals.
- Experience in a medical office setting working with patient scheduling, phone triage and payment collections.
Resume / CV
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 website.
EEO Statement
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, disability, genetic information or status as a protected veteran.
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.
Pay Basis: Hourly
Pay Grade Minimum
Salary commensurate with related education, experience and/or skills.
Pay Grade Maximum
Salary commensurate with related education, experience and/or skills.
Travel Required: None
Does this position work in a research laboratory?: No
Air Force Specialty Code
3A1X1, 4A0X1
Marine Military Occupational Specialty Code
0111
Navy Enlisted Classification Code
YN, HM
