Patient Services Specialist - Referrals

IntroductionNationally recognized as a Great College to Work For, TTUHSC provides much more than just a job! Enjoy excellent benefits, including paid leave, retirement plans, wellness programs, health insurance and so much more. Ready to start building a rewarding career in a positive environment where you can develop and thrive? Join us as we change the future of health care.About TTUHSCTexas Tech University Health Sciences Center is enriching the lives of others by educating students, providing excellent patient care, and advancing knowledge through innovative research. TTUHSC graduates more health care professionals than any other health care institution in the state, conferring 24.2% of all degrees and certificates awarded from health-related institutions in Texas. By providing comprehensive clinical services to more than 10 million individuals across 121 counties, TTUHSC is dedicated to advancing the health of people throughout Texas and beyond. This is where world-class education meets compassionate patient care – and we believe that our people are the reason for our institution’s lasting success and bright future.Being part of the TTUHSC team means being part of an innovative and supportive community that empowers each individual to do their best work. Through our values-based culture, TTUHSC is committed to cultivating an exceptional workplace community with a positive culture that puts people first.Visa InformationTTUHSC, at its sole discretion, may initiate new H-1B I-129 visa petitions in accordance with the directive issued by Governor Abbott. Approval from the Texas Workforce Commission is required. On a limited, case-by-case basis, the institution may also sponsor eligible individuals for change-of-status or change-of-employer petitions for qualifying positions. TTUHSC will not pay the $100,000 fee, if applicable.Position DescriptionThis position is responsible for ensuring the smooth operation of the clinic patient flow and serving as the primary contact for patients. Responsible for scheduling appointments, preparing necessary paperwork before the patient visits, receiving patients, and maintaining records. In addition, this position is responsible for processing charges for clinic services, filing insurance claims, responding to requests for information from patients and insurance companies and maintaining related information for the department. Employees may have cash-handling responsibilities.Major/Essential FunctionsCoordinates and processes incoming and outgoing referrals for Pediatric General Pediatrics and Pediatric Specialty clinics in a timely and accurate manner.Reviews referrals for completeness, verifies required clinical documentation, and obtains additional information as needed to facilitate timely patient scheduling.Serves as the primary liaison between TTUHSC Pediatrics, referring providers, specialty practices, hospitals, insurance companies, and patients/families regarding referral status.Utilizes the electronic medical record (EMR) and referral tracking systems to accurately document referral activity, monitor referral status, and ensure timely follow-up through completion.Tracks referral milestones including receipt, processing, scheduling, appointment completion, and communication back to referring providers when appropriate.Coordinates with the Eligibility/Authorization Specialist to ensure referrals requiring insurance authorization are processed efficiently prior to scheduled appointments.Assists patients and families in navigating the referral process while providing exceptional customer service and maintaining patient confidentiality.Communicates professionally with providers, nurses, clinic staff, and external healthcare organizations to resolve referral-related issues and remove barriers to patient care.Identifies referral delays, incomplete documentation, or workflow concerns and escalates issues through established departmental processes.Maintains knowledge of payer requirements, referral guidelines, and departmental scheduling protocols.Participates in continuous process improvement initiatives designed to improve referral turnaround times, patient access, and operational efficiency.Demonstrates proficiency with electronic medical records, referral management tools, Microsoft Office applications, and other software necessary to perform assigned duties.Performs additional duties as assigned in support of departmental operations.Required QualificationsA High School diploma or GED. 1-year Customer Service, office, or related experience. Additional education may substitute for the experience requirement.Preferred QualificationsExperience in a fast-paced healthcare environment.Knowledge of medical terminology and healthcare insurance processes preferred.Experience with electronic medical records and referral management systems preferred.Required AttachmentsResume / CV BenefitsTTUHSC is committed to creating an environment where our team members can do their best work, with programs and benefits to support head-to-toe well-being. Explore just a few of the advantages of being a TTUHSC team member:Health Plans + Supplemental Coverage Options – Individual health insurance provided at no cost for full-time team membersPaid Time Off – Including holidays, vacation, sick leave and moreRetirement PlansWellness ProgramsCertified Mother-Friendly WorkplaceAdditionally, TTUHSC invests in the success of our team members by providing opportunities for personal and professional growth, including lifelong learning programs, recognition programs, and health and wellness initiatives. Team members also enjoy a variety of other perks, such as special membership rates at local gyms and golf courses, access to state-of-the-art software and facilities, and discounts on travel, technology, entertainment and more.Job TypeFull Time Pay BasisHourly Pay Grade Minimum15.75Pay Grade Maximum16.50Pay StatementCompensation 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 website at .Grant Funded?No Travel RequiredNoneShiftDayDoes this position work in a research laboratory?No Air Force Specialty Code3A1X1, 4A0X1Marine Military Occupational Specialty Code0111Navy Enlisted Classification CodeYN, HMEEO StatementAll qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information or status as a protected veteran.Jeanne Clery ActThe 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. To view this report, visit the TTUHSC Clery Act website at .: Pediatrics Ama Genl : Amarillo