Patient Services Specialist

Job Description:

Patient Services Specialist

Description

Patient Services Specialist
42600BR
42600BR

Position Description
This 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 Functions

• Insurance Verification
• Verify active insurance coverage and benefits for scheduled and unscheduled patient appointments.
• Confirm patient eligibility, policy details, co-pays, deductibles, and referral/authorization requirements.
• Document verification details in the electronic health record (EHR) and scheduling systems accurately and promptly.
• Identify and resolve discrepancies with payers and escalate complex cases to the financial counseling team as needed.
• Maintain up-to-date knowledge of payer policies and institutional insurance protocols.
• Insurance Verification
• Verify active insurance coverage and benefits for scheduled and unscheduled patient appointments.
• Confirm patient eligibility, policy details, co-pays, deductibles, and referral/authorization requirements.
• Document verification details in the electronic health record (EHR) and scheduling systems accurately and promptly.
• Identify and resolve discrepancies with payers and escalate complex cases to the financial counseling team as needed.
• Maintain up-to-date knowledge of payer policies and institutional insurance protocols.
• Call Handling & Scheduling
• Answer inbound calls from patients, caregivers, and referring providers, ensuring professional and compassionate communication.
• Schedule, reschedule, and cancel appointments in accordance with departmental protocols.
• Provide basic information on clinic services, appointment preparation, and institutional policies.
• Route calls and messages to appropriate clinical or administrative staff.

Required Qualifications
A High School diploma or GED. 1-year Customer Service, office, or related experience. Additional education may substitute for the experience requirement.

To apply, please visit: https://sjobs.brassring.com/TGnewUI/Search/home/HomeWithPreLoad?partnerid=25898&siteid=5283&PageType=JobDetails&jobid=899883

All qualified applicants will be considered for employment without regard to sex, race, color, national origin, religion, age, disability, protected veteran status, or genetic information.

The 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. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx.








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