Patient Service Specialist, Adult Congenital Heart Disease Clinic

Key Responsibilities

• Proficiently performs all Patient Service Specialist job responsibilities.
• Facilitates pre-authorization, precertification or predetermination of procedure and resolves related issues.
• Manages templates including utilization, wait list and quality audits.
• Maintains quality and engages in quality improvement efforts in operations impacting patients and staff.
• Participates in interview process for new PSSs.
• Assists with onboarding and training of new hires and manages and reviews onboarding checklist.

Technical Capabilities

• CUSTOMER SERVICE (Advanced): A continuing focus on the needs and requirements of customers, anticipating their needs, remaining sensitive to customers while performing services for them, responsive to customer needs.
• PATIENT SCHEDULING (Intermediate): The ability to coordinate and schedule patient appointments, and other office visits with various computer systems in the hospital or clinic.
• PATIENT DOCUMENTATION (Intermediate): The ability to receive and record patient information.
• MEDICAL TERMINOLOGY & DOCUMENTATION (Intermediate): The ability to comprehend medical terminology and documentation in an office, or surgical setting.
• APPOINTMENT & PROCEDURAL SCHEDULING (Intermediate): The ability to coordinate and schedule diagnostic testing and procedures within various computer systems in the hospital.

Core Accountabilities

• Organizational Impact: Performs non-routine tasks that significantly impact team's performance with minimal guidance.
• Problem Solving/ Complexity of work: Conducts research and analysis to solve some non-routine problems.
• Breadth of Knowledge: Applies broad job knowledge and has basic job skills in other areas.
• Team Interaction: Provides informal guidance and support to less experienced team members.

Position Qualifications

• Responsibilities: Certifications: Patient Access Specialist Certification - Health Business Insights
• Work Experience: Relevant Work Experience Experience Level: 3 years
• Education: High School Diploma or GED