Sr Patient Services Specialist- Managed Care

Extended Job Title

Sr Patient Services Specialist- Managed Care

Instititution

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 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.

Requisition ID

40116BR

Travel Required

None

Pay Grade Maximum

Salary commensurate with related education, experience and / or skills.

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.

Grant Funded?

Pay Grade Minimum

Salary commensurate with related education, experience and / or skills.

Pay Basis

Hourly

Work Location

Lubbock

Preferred Qualifications

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 website.

Job Group

Information and Records Clerks

Shift

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.

Required Qualifications

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.

Does this position work in a research laboratory?

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 .