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Patient Services Specialist I - PCP, Internal Medicine

University of Texas Medical Branch
Galveston, TX Full Time
POSTED ON 2/8/2025
AVAILABLE BEFORE 5/7/2025

Job Description :

The Patient Services Specialist I creates a positive patient experience by consistently exceeding expectations in customer service and patient care, by coordinating clerical and medical activities of a healthcare team, patient registration activities, and facilitating access to UTMB services for new and returning patients.

EDUCATION & EXPERIENCE

Minimum Qualifications :

Associate degree and no experience. An equivalent combination of education and experience relevant to the role may be considered for this position.

LICENSES, REGISTRATIONS OR CERTIFICATIONS

Required : For departments reporting under Health System Ambulatory Operations, a valid Basic Life Support (BLS) certification must be obtained within 90 days of hire. Certification must be maintained for the duration of their employment in this position.

Preferred Qualifications :

Experience with patient registration, patient appointment scheduling, and / or insurance verification preferred.

CUSTOMER SERVICE :

  • Provides high level customer service in all interactions with internal and external customers.
  • Provides direct, professional, and knowledgeable interactions with patients, physicians, referral sources, and the treatment team.
  • Answers calls accurately and with exceptional customer service at all times, and ensure caller’s needs are met.
  • Ensures calls are documented and triaged appropriately ensuring patient satisfaction and patient safety.
  • Acts as patient advocate and liaisons with various departments to meet mutual goals.
  • Addresses concerns of patients, provides service recovery, and escalates issues as needed.

SCHEDULING :

  • Schedules appointments and completes reminder calls to patients for scheduled appointments.
  • Coordinates financial counseling for day surgery
  • Educates patient / responsible parties regarding billing process and any additional financial responsibilities including third party benefits information.
  • Provides out-of pocket cost estimates to patients and counsels patients about unpaid bills.
  • Obtains future appointments at time of service for clinic follow-up, referrals, and ancillary services.
  • ARRIVAL :

  • Arrives patients and prepares paperwork / chart for visit.
  • Appropriately receipts all monies collected, tokens distributed, and deferments authorized.
  • REGISTRATION :

  • Verifies, ensures eligibility, and pre-registers patients by obtaining patient demographics and third party coverage(s) at every encounter.
  • Obtains and documents information required for third party reimbursement.
  • Ensures compliance with Medicare and third party coverage.
  • Communicates with patient, referral source, UTMB physician and clinical staff regarding any obstacle to access or authorization.
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