Sr. Patient Services Specialist - Managed Care

Extended Job Title
Sr. Patient Services Specialist - Managed Care

Org Level 1
Texas Tech Univ Health Sciences Ctr

Org Level 7
512701 - Ortho Surgery Dept Lbk Genl

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 contact of both direct with patients, HSC staff, and insurance companies. Employees have cash handling responsibilities.

Requisition ID
22658BR

Travel Required
None

Major/Essential Functions

• Assist with daily schedules: check for funding sources, deductibles, payment history, balances on accounts, and calculate self pay discount
• Assist patients to find funding when needed
• Maximize collections from patients from balances noted in account
• Educate PSS, nurses and providers on insurance benefits and funding
• Counsel patients on insurance benefits
• Manages worker's compensation referrals and authorizations as needed for assigned providers
• Manage Worker's Comp referral logging, distribution and scheduling as needed
• Manage testing, therapy orders, and surgery authorizations as needed
• Work collaboratively with nurses and coders to ensure surgeries are scheduled and authorized in a timely and efficient manner
• Verify worker's compensation insurance benefits for all office visits and surgeries scheduled out of the office
• Create and maintain reference guide for worker's compensation insurance benefits and authorizations
• Assist with insurance verification as needed
• Proactively assist other staff and providers as needed

Grant Funded?
No

Minimum Hire Rate
13.41

Pay Basis
Hourly

Work Location
Lubbock

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
• Computer skills
• Strong written and verbal communication skills

Campus
HSC - Lubbock

Department
Ortho Surgery Dept Lbk 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
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
+Education:+ A minimum of a high school diploma or equivalent.+Experience:+ * A minimum of five (5) years of general office experience. * A minimum of two (2) years in a clinic or physician's office.OR* At least three (3) years of experience at TTUHSC in the Patient Services Program, documented completion of all relevant IDX training and a current performance appraisal with a rating of meeting or exceeding expectations.

Does this position work in a research laboratory?
No