Job Description

Extended Job Title
Managed Care Coordinator

Org Level 1
Texas Tech Univ Health Sciences Ctr

Org Level 7
512701 - Ortho Surgery Dept Lbk Genl

Position Description
Performs coordinative work in the business or administrative operation of a specific department or college. Responsibilities involve the coordination and supervision of the various functions and aspects of a department as well as the monitoring operational procedures. Work is performed under general supervision with evaluation based on results obtained. May supervise staff or student assistants.

Requisition ID
17940BR

Travel Required
None

Major/Essential Functions
  • Verify insurance eligibility and benefits
  • Work incoming referrals to include logging, distribution and scheduling
  • Ensure referral authorizations are obtained prior to patient visit
  • Verify workers compensation coverage for office services, testing and surgeries
  • Obtain authorizations and schedule diagnostic testing and therapy as needed
  • Obtain authorizations for surgical procedures
  • Obtain authorizations for Durable Medical Equipment as needed
  • Calculate and collect patient responsibility on office and hospital procedures
  • Work collaboratively with nurses, providers, and coders to ensure surgeries are scheduled and authorized in a timely manner
  • Educate PSS, nurses and providers on insurance coverage
  • Send referrals out as needed
  • Work pre-visit ETM queue as needed


Grant Funded?
No

Minimum Hire Rate
14.48

Pay Basis
Hourly

Work Location
Lubbock

Preferred Qualifications
  • Experience in a medical office setting doing insurance verifications, authorizations and referrals
  • Experience in a medical office setting working with patient scheduling and payment collections
  • Experience interacting effectively with staff, physicians, other billing team member, and patients
  • Comfortable in a busy environment.
  • Familiarity with orthopaedic procedures


Campus
HSC - Lubbock

Department
Ortho Surgery Dept Lbk Genl

Required Attachments
Resume / CV

Job Type
Full Time

Pay Statement
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 on the Human Resources webpage.

Job Group
Other Administrative

Shift
Day

EEO Statement
As an EEO/AA employer, the Texas Tech University System and its components will not discriminate in our employment practices based on an applicant’s race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information or status as a protected veteran.

Required Qualifications
Bachelor's degree plus two (2) years related experience; OR a combination of education and/or progressively responsible related experience to equal six (6) years. Work experience excludes volunteer work.

Does this position work in a research laboratory?
No

Application Instructions

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