Sr Patient Services Specialist- Managed Care

Job Description:

Sr Patient Services Specialist- Managed Care

Description

Sr Patient Services Specialist- Managed Care
Lubbock
39509BR

Position Description
This position is responsible for assuring smooth operation of the front clinic patient flow. Employees serve as primary contacts for patients and are responsible for scheduling appointments, preparing necessary paperwork before the patient visits, receiving patients, and maintaining records. In addition, this position may responsible for processing charges for clinic services, filing insurance claims, responding to requests for information from patients and insurance companies and maintaining related information for the department. Employees may be responsible for cash.


Major/Essential Functions

• Receives, processes and schedules referrals into the clinic.
• Obtains insurance authorizations when needed.
• Assist with workers compensation referrals
• Verifies insurance coverage for referrals and established patients.
• Assists with calculating and collecting out of pocket expenses
• Assists with authorization for surgery and testing
• Maintains up to date knowledge of payer requirements and coverage
• Communicate effectively with nurses, providers and other staff on referrals, authorizations and payer requirements
• Proactively assist other staff and providers as needed

Required Qualifications
High school diploma or equivalent. 3 years Customer Service, office or related experience, with 2 of those years in a healthcare setting preferred. Additional education may substitute for the experience requirement.


To apply, please visit: https://sjobs.brassring.com/TGnewUI/Search/home/HomeWithPreLoad?partnerid=25898&siteid=5283&PageType=JobDetails&jobid=879664

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, disability, genetic information or status as a protected veteran.

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