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Patient Services Specialist II
3 months ago
Patient Services Specialist II - UHC 5th FL Clinics **Galveston, Texas, United States** **New** Clerical & Administrative Support UTMB Health Requisition # 2403049 **Minimum Qualifications** Bachelor's degree and one year experience or High School or equivalent and three years clerical or customer service experience. **Job Summary** The Patient Services Specialist II has advanced Patient Services Specialist skills and is proficient in independently maintaining 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. **ESSENTIAL JOB FUNCTIONS:** **Lead Responsibilities** · Ability to function as a team leader. · Provides peer guidance and leadership. · Able to effectively triage problems. · Understand clinic flow to maximize clinic usage to meet patient needs. **Customer Service** · Provides high level customer in all interactions with internal and external customers. · Provides direct, professional, and knowledgeable interactions with patients, physicians, referral sources, and the treatment team. · Answers always calls accurately and with exceptional customer service. · 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. **Marginal or Periodic Job Functions** · Performs related duties as required. · 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. · Adheres to internal controls established for department. · Locks office and secures files containing money or confidential information when away from workstation. Properly disposes of printed patient information, logs off computer when leaving workstation and keeps passwords confidential. · Participates in team meetings/activities and supports the philosophy and goals of the team/department. **Equal Employment Opportunity** UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities. Compensation
