Patient Services Specialist I - Clear Lake Center - Full-Time

Medical Administrative

The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice and the Texas Juvenile Justice Department.

Job Summary

Creates a positive patient experience by consistently exceeding expectations in customer service and patient care, by coordinating clerical and medical activities of a healthcare team, patient registration activities, and facilitating access to UTMB services for new and returning patients.

Essential Job Functions: Customer Service

• 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 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.

Scheduling

• Applies the policies of the clinical entity to schedule appointments.
• Completes reminder calls to patients for scheduled appointments.
• Obtains future appointments at time of service for clinic follow-up, referrals, and ancillary services.

Registration

• Verifies, ensures eligibility, and pre-registers patients by obtaining patient demographics and third party coverage(s) at every encounter.
• 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.

Disposition

• Fully dispositions each patient within the designated timeline.
• Adheres to internal controls and reporting structures established for department.
• Performs related duties as required.

Equipment: Standard office equipment.

Work Location/Environment: Work location to be determined based on final selection. Standard office environment. Security clearance is required; pre-employment drug testing is also required.

Required Education/Experience: Bachelor's degree and no experience. Or high school diploma, or equivalent, and two (2) years customer service and/or clerical experience.

Salary is commensurate with years of relevant work experience. Equal Employment Opportunity

UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.