Sr Patient Services Specialist-Managed Care

Extended Job Title

Sr Patient Services Specialist-Managed Care

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.

Work is performed in usual clinic conditions and requires a high degree of direct contact with patients, staff, and insurance companies. Employees may have cash-handling responsibilities.

43516

None

19.50

• 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.

No

15

Hourly

Lubbock

• Minimum 3–5 years in patient services, healthcare administration, or clinic operations, with proven ability to manage complex patient cases and coordinate across multidisciplinary teams.
• Skilled in data entry and electronic medical record (EMR/EHR) systems such as Cerner and Epic.
• Experience in verifying insurance.
• Proficient in Microsoft Office Knowledge of medical terminology.
• Experience with the pre-certification process for insurance carriers.

Otolaryngology Lbk

Resume / CV

Full Time

Compensation 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 https://app
4.ttuhsc.edu/payplan.

• Helping in other departments if needed.

Day

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.

High school diploma or equivalent. Three (3) years of customer service, office, or related experience, with two (2) of those years in a healthcare or dental clinic setting preferred. Additional education may substitute for the experience requirement.

No

YN, HM

3A1X1, 4A0 X1

0111

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.

To view this report, visit the TTUHSC Clery Act website at https://(Use the "Apply for this Job" box below)..

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