Sr Patient Services Specialist-RMS (Clinical Ops / Alberta)

Extended Job Title
Sr Patient Services Specialist-RMS (Clinical Ops/Alberta)

Org Level 1
Texas Tech Unv Hlth Sci Ctr El Paso

Position Description
This position is responsible for assuring smooth operations of the referral management process. Employees in this position are responsible for efficiently processing referrals in a timely manner. Employees assist patients in making and keeping appointments, collaborate with referring providers and consultants to facilitate two-way communication needed to complete the referral process in an efficient and timely manner. Additionally, employees in this position are responsible for scheduling appointments and documenting/uploading necessary information into the patient's electronic medical record prior to their visits. They are also responsible for obtaining relevant information from patients and insurance companies, as well as, maintaining related records for the department.



Requisition ID
36514BR

Optional Attachments
Transcript

Travel Required
None

Major/Essential Functions

• 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
• Receives and resolves transferred calls from Contact Center appropriately
• Scans all necessary documentation, forms, and patient information into the Electronic Medical Record (EMR) appropriately
• Documents all referral and scheduling process in the Electronic Medical Record (EMR) appropriately according to set processes for the department
• Consistent follow-up on open referrals to ensure completion within the expected timeframe in order to meet department goals and expectations
• Explains the referral process to patients, providing clear directions, and documenting results of referrals appropriately
• Assists in the training of RMS new hires on job duties and expectations
• Adheres to all TTUHSC EP policies, procedures and processes
• Personally demonstrate, display, and act in accordance with TTUHSCEP values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork)
• Other duties as assigned

Grant Funded?
No

Minimum Hire Rate
Compensation is commensurate upon the qualifications

Pay Basis
Hourly

Schedule Details
M-F 8am - 5PM

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
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
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

• High school diploma or equivalent
• 3 years Customer Service, office or related experience, with 2 of those years in a healthcare or dental clinic setting preferred
• 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