Sr Patient Services Specialist

Job Description:

Sr Patient Services Specialist

Description

Sr Patient Services Specialist
43507BR
43507BR

Position Description
This position is responsible for ensuring the smooth operation of the clinic patient flow and serving as the primary contact for patients. Responsible for scheduling appointments, preparing necessary paperwork before the patient visits, receiving patients, and maintaining records. In addition, this position is 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. Work is performed in usual clinic conditions and requires a high degree of direct contact with patients, staff, and insurance companies. Employees may have cash-handling responsibilities.

Major/Essential Functions

• Coordinating healthcare services to control costs, improve quality, and ensure efficient delivery.
• Obtaining authorization, Utilization management, compliance and patient/member support.
• Key duties include reviewing service requests, managing provider relationships, implementing quality improvement initiatives, and staying updated on regulations to balance financial health with patient care.
• Screening pre-certification requests, reviewing service utilization, assisting members with benefits, and facilitating communication.
• Handles day-to-day tasks like screening requests, clarifying benefits.

Required Qualifications
High school diploma or equivalent. Three (3) years of customer service, office, or related experience, with two (2) of those years in a healthcare or dental clinic 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=905858

All qualified applicants will be considered for employment without regard to sex, race, color, national origin, religion, age, disability, protected veteran status, or genetic information.

The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx.








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