Patient Services Specialist - Primary Care; Angleton

Patient Services Specialist I - Primary Care (Angleton)

** Angleton, Texas, United States*
* ** New*
* Clerical & Administrative Support

UTMB Health

Requisition # 2606862

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* EDUCATION & EXPERIENCE:

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* Minimum Qualifications:

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* + Associate's 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:

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* Required:

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* 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.

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* JOB SUMMARY:

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* 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.

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* ESSENTIAL JOB FUNCTIONS:

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* ** 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.

+ Ensures caller's needs are met and accurate information is obtained.

+ Ensures calls are documented and triaged appropriately ensuring patient satisfaction and patient safety. Completes telephone encounter process if appropriate.

+ Acts as patient advocate and liaisons with various departments to meet mutual goals.

+ Maintains patient confidentiality regarding access to patient and other clinical information via email, computer, fax and mail.

+ Addresses concerns of patients, provides service recovery, and escalates issues as needed.

** Scheduling:*
* + Applies the policies of the clinical entity to schedule appointments.

+ Coordinates financial counseling for day surgery.

+ Completes reminder calls to patients for scheduled appointments.

+ 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.

+ 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.

** Disposition:*
* + Fully dispositions each patient within the designated timeline.

+ Adheres to internal controls established for department.

** Marginal or Periodic Functions:*
* + Performs related duties as required.

+ Adheres to internal controls established for department.

+ Reads all OSA Announcements and relevant communications relating to job duties.

+ Successfully completes competency-based training and testing on an annual basis.

+ Prioritizes and completes all work in an accurate, effective, and efficient manner.

+ Locks office and secures files containing money or confidential information when away from workstation.

+ Properly disposes of printed patient information, logs…