Patient Services Specialist I

Texas Tech University • Lubbock, TX

1d

About The Position

With close direction, the PSS I performs standard clerical responsibilities that impact clinic patient flow, in accordance with established procedures. Responsibilities may include registration, scheduling, collections, and/or insurance authorizations. 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.

Requirements

• High School diploma or equivalent.

Responsibilities

• Perform standard clerical responsibilities that impact clinic patient flow.
• Coordinate healthcare services to control costs, improve quality, and ensure efficient delivery.
• Obtain authorization, manage utilization, ensure compliance, and provide patient/member support.
• Review service requests.
• Manage provider relationships.
• Implement quality improvement initiatives.
• Stay updated on regulations to balance financial health with patient care.
• Screen pre-certification requests.
• Review service utilization.
• Assist members with benefits.
• Facilitate communication.
• Handle day-to-day tasks like screening requests and clarifying benefits.

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED