Patient Services Specialist I - SHVI Cardiology (Clear Lake)

University of Texas Medical Branch (UTMB)•Webster, TX
•Onsite

About The Position

The Patient Services Specialist I creates a positive patient experience by exceeding expectations in customer service and patient care. The role coordinates clerical and medical activities for a healthcare team, handles patient registration, and facilitates access to UTMB services for new and returning patients. This position provides professional service to patients, physicians, referral sources, and treatment teams; handles and triages calls; schedules appointments; supports financial counseling and patient billing communications; prepares patients and paperwork for visits; verifies eligibility and coverage; and completes patient dispositions. The role also maintains confidentiality, follows department controls and procedures, completes annual competency-based training, and contributes to team activities.

Requirements

  • Associate’s degree and no experience required; an equivalent combination of relevant education and experience may be considered.
  • For departments reporting under Health System Ambulatory Operations, obtain a valid Basic Life Support (BLS) certification within 90 days of hire and maintain it throughout employment.
  • Proficiency using a PC, including experience with Excel, Word, and database management packages.
  • Analytical ability, including the 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

  • Previous experience in a medical office, clinic, or healthcare setting.

Responsibilities

  • Provide high-level customer service to internal and external customers, including patients, physicians, referral sources, and the treatment team.
  • Answer calls accurately, obtain the information needed to meet callers’ needs, document and triage calls appropriately, and complete telephone encounter processes when appropriate.
  • Act as a patient advocate and liaison with other departments; address patient concerns, provide service recovery, and escalate issues as needed.
  • Maintain confidentiality of patient and clinical information across email, computer, fax, and mail.
  • Schedule appointments according to clinical entity policies and complete reminder calls.
  • Coordinate financial counseling for day surgery; explain billing processes, third-party benefits, and financial responsibilities; provide out-of-pocket cost estimates; and counsel patients about unpaid bills.
  • Arrange future clinic follow-up appointments, referrals, and ancillary services at the time of service.
  • Arrive patients and prepare paperwork and charts for visits.
  • Receipt collected monies, distribute tokens, and authorize deferments appropriately.
  • Verify eligibility, pre-register patients, and obtain patient demographics and third-party coverage at every encounter.
  • Obtain and document information required for third-party reimbursement and ensure compliance with Medicare and third-party coverage.
  • Communicate access or authorization obstacles to patients, referral sources, UTMB physicians, and clinical staff.
  • Complete patient dispositions within designated timelines and adhere to departmental internal controls.
  • Read relevant OSA announcements and communications, complete annual competency-based training and testing, and prioritize work accurately and efficiently.
  • Secure files containing money or confidential information, properly dispose of printed patient information, log off computers when away from the workstation, and keep passwords confidential.
  • Participate in team meetings and activities and support team and departmental goals.
  • Perform related duties as required.
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