Patient Services Specialist I

Position Description

With close direction, the PSS I performs standard clerical responsibilities that impact clinic patient flow, in accordance with established procedures. Responsibilities may include registration, scheduling, collections, and/or insurance authorizations.

Department

SOM Admin PSS Lbk

Major/Essential Functions

• 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.

Occasional Duties

Assist in other departments as needed

Required Qualifications

High School diploma or equivalent.

Preferred Qualifications

• 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.

EEO Statement

All 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 Act

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://www.ttuhsc.edu/compliance/clery-report.aspx.