Sep 23, 2019

Patient Services Specialist I - Children's Center at Bay Colony - 63853

  • UTMB Health
  • League City, TX, USA
Full time Allied health

Job Description

ESSENTIAL JOB FUNCTIONS:

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.

Job Requirements/Qualification:

Bachelor's Degree and no experience or High School or equivalent and 2 years customer service and/or clerical experience. 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.

 

Preferred Skill/Competency

  • Must have strong proven customer service skills. Recent customer service experience required.
  • Experience obtaining verification of benefits, pre-certification / pre-authorizations from insurance carriers preferred.