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
This position is responsible for assuring smooth operation of the clinic patient flow and serve as primary contacts 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. Ability to communicate effectively with a variety of people. Ability to understand and follow instructions. Work is performed in usual clinic conditions and requires a high degree of contact of both direct with patients, HSC staff, and insurance companies. Employees have cash handling responsibilities.

Requisition ID
18270BR

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 the 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
  • Counsel patients on insurance coverage
  • Educate PSS, nurses and providers on insurance coverage
  • Send referrals out as needed


Grant Funded?
No

Minimum Hire Rate
13.41

Pay Basis
Hourly

Work Location
Lubbock

Campus
HSC - Lubbock

Department
Ortho Surgery Dept Lbk Genl

Required Attachments
Cover Letter, 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
Clerical/Secretarial

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
+Education:+ A minimum of a high school diploma or equivalent.
+Experience:+ * A minimum of five (5) years of general office experience. * A minimum of two (2) years in a clinic or physician's office.
OR
* At least three (3) years of experience at TTUHSC in the Patient Services Program, documented completion of all relevant IDX training and a current performance appraisal with a rating of meeting or exceeding expectations.


Does this position work in a research laboratory?
No

Application Instructions

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