38046BRExtended Job Title:Patient Services Specialist-RMS (Pediatrics/Transmountain)Org Level 1:Texas Tech Unv Hlth Sci Ctr El PasoPosition Description:This position is responsible for assuring smooth operations of the entry referral management process. Employees in this position are responsible for creating and maintaining database by entering new and updated patient and account information in all systems. Organizing, updating, and maintaining all incoming documentation pertaining to referral process.Requisition ID:38046BRTravel Required:NoneMajor/Essential Functions:
Retrieves and sorts all incoming e-fax documentation pertaining to referral process appropriately
Uploads referrals and supportive documentation into the Electronic Medical Record (EMR) appropriately in a timely manner
Distributes external referrals in our referral management system in a timely manner according to set RMS process in order to meet department goals and expectations
Ensures patient demographic and health insurance information is up to date and updates accordingly as needed
Collaborates with external referring providers to ensure complete and accurate patient health insurance information is in place and up to date on patient's record. Contacts referring providers to obtain updated or missing information as needed
Verifies insurance coverage and identifies if visit requires prior authorization in a timely manner
Processes referrals in a timely and efficient manner by following set processes for the department in order to meet department goals and expectations
Verifies and updates managed care plan and/or insurance information into patient chart accurately
Assists in training RMS new hire on job duties and expectations
Adheres to all TTUHSC EP policies, procedures and processes
Personally demonstrate, display, and act in accordance with TTUHSCEP values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork)
Other duties as assigned.
Grant Funded?:NoMinimum Hire Rate:Compensation is commensurate upon the qualificationsPay Basis:HourlyWork Location:El PasoPreferred Qualifications:
Knowledge of basic office equipment and computer skills (PC, Telephone, 10-key, Excel, Power Point and Word)
Knowledge of the various managed care plans and private insurances
Knowledge of referral and authorizations process
Strong communication skills
Ability to interact effectively and efficiently with others
Ability to work in a busy, fast paced environment
Ability to understand and follow direction
Some knowledge of medical procedures
Ability to communicate effectively and professionally with a variety of people
Ability to work well with different levels of staff
Willing to work extended hours and on occasions on Saturday
Bilingual - English and Spanish
Campus:HSC - El PasoDepartment:Transmountain Practice Admin ElpRequired Attachments:Resume / CVJob Type:Full TimePay Statement:Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as, the institutional pay plan. For additional information, please reference the institutional pay plan on the Human Resources webpage.Job Group:Information and Records ClerksShift:DayEEO Statement:As an EEO/AA employer, the Texas Tech University System and its components will not discriminate in our employment practices based on an applicant’s race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information or status as a protected veteran.Required Qualifications:
A High School diploma or GED
1-year Customer Service, office, or related experience
Additional education may substitute for the experience requirement
Does this position work in a research laboratory?:NoJeanne Clery Act: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