Patient Services Specialist I - CBC League City Primary Care

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: Associate degree and no experience.

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

Job Summary/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.

Job Duties:

·        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

·        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.

·        Schedules appointments and completes reminder calls to patients for scheduled appointments.

·        Coordinates financial counseling for day surgery

·        Arrival

·        Arrives patients and prepares paperwork/chart for visit.

·        Appropriately receipts all monies collected, tokens distributed, and deferments authorized.

·        Registration

·        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.

·        Verifies, ensures eligibility, and pre-registers patients by obtaining patient demographics and third party coverage(s) at every encounter.

Salary Range:  Actual salary commensurate with experience or range if discussed and approved by hiring authority.

Work Schedule: On-site, Monday through Friday, 8am to 5pm plus other variable hours