Patient Services Specialist I - Ob/Gyn, Pearland

UTMB Health•Pearland, TX

3d•Onsite

About The Position

The Patient Services Specialist I creates a positive patient experience by consistently exceeding expectations in customer service and patient care. This role involves coordinating clerical and medical activities of a healthcare team, managing patient registration, and facilitating access to UTMB services for both new and returning patients.

Requirements

Associate’s degree and no experience.
An equivalent combination of education and experience relevant to the role may be considered for this position.
Proficient in use of PC with experience in Excel, Word, and database management packages.
Analytical and ability to collect and trend data.
Knowledge of patient care and patient problems.
Excellent human relations and written and oral communication skills.
Ability to problem-solve.

Nice To Haves

A valid Basic Life Support (BLS) certification must be obtained within 90 days of hire for departments reporting under Health System Ambulatory Operations. Certification must be maintained for the duration of their employment in this position.

Responsibilities

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.
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 a 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.
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 the 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 the time of service for clinic follow-up, referrals, and ancillary services.
Arrives patients and prepares paperwork/chart for visit.
Appropriately receipts all monies collected, tokens distributed, and deferments authorized.
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.
Fully dispositions each patient within the designated timeline.
Adheres to internal controls established for the department.
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.
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.