Patient Services Specialist (Pediatrics / Alberta)

Extended Job Title
Patient Services Specialist (Pediatrics/Alberta)

Org Level 1
Texas Tech Unv Hlth Sci Ctr El Paso

Position Description
This position is responsible for assuring smooth operations of the entry referral management process. Employees in this position are responsible for creating and maintaining database by entering new and updated patient and account information in all systems. Organizing, updating, and maintaining all incoming documentation pertaining to referral process. Employees do not have cash handling responsibilities.

Requisition ID
36847BR

Travel Required
Up to 25%

Major/Essential Functions

• Retrieves and sorts all incoming e-fax documentation pertaining to referral process appropriately.
• Uploads referrals and supportive documentation into the Electronic Medical Record (EMR) appropriately in a timely manner.
• Distributes external referrals in our referral management system in a timely manner according to set RMS process in order to meet department goals and expectations.
• Ensures patient demographic and health insurance information is up to date and updates accordingly as needed.
• Collaborates with external referring providers to ensure complete and accurate patient health insurance information is in place and up to date on patient's record. Contacts referring providers to obtain updated or missing information as needed.
• Verifies insurance coverage and identifies if visit requires prior authorization in a timely manner.
• Processes referrals in a timely and efficient manner by following set processes for the department in order to meet department goals and expectations.
• Verifies and updates managed care plan and/or insurance information into patient chart accurately.
• Assists in training RMS new hire on job duties and expectations.
• Adhere to all TTUHSCEP policies, procedures and processes.
• Personally demonstrate, display, and act in accordance with TTUHSCEPs values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork). Actively promote and encourage staff across the institution.
• Perform all otherduties as assigned

Grant Funded?
No

Minimum Hire Rate
Compensation is commensurate upon the qualifications

Pay Basis
Hourly

Work Location
El Paso

Preferred Qualifications

• Knowledge of basic office equipment and computer skills (PC, Telephone, 10-key, Excel, Power Point and Word)
• Knowledge of the various managed care plans and private insurances.
• Knowledge of referral and authorizations process.
• Strong communication skills.
• Ability to interact effectively and efficiently with others.
• Ability to work in a busy, fast paced environment.
• Ability to understand and follow direction.
• Some knowledge of medical procedures
• Ability to communicate effectively and professionally with a variety of people. Ability to work well with different levels of staff.
• Willing to work extended hours and on occasions on Saturday.
• Bilingual- English and Spanish

Campus
HSC - El Paso

Department
Pediatrics 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
Executive and Admin Assistants

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 applicants 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 GED
• 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

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