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.
EDUCATION & EXPERIENCE
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
Required: For departments reporting under Health System Ambulatory Operations, a valid Basic Life Support (BLS) certification must be obtained within 90 days of hire. Certification must be maintained for the duration of their employment in this position.
Preferred Qualifications:
Experience with patient registration, patient appointment scheduling, and/or insurance verification preferred.
Qualifications - External
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:
· Schedules appointments and completes reminder calls to patients for scheduled appointments.
· Coordinates financial counseling for day surgery
· 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.
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.