PATIENT SERVICES REPRESENTATIVE I

Posting Number: SRGV8530
Number of Vacancies:
Multiple
Location: Rio Grande Valley, Texas
Department: School of Medicine / Ambulatory Operations
FLSA:
Non-Exempt

Scope of Job:
Responsible for greeting and registering patients in a caring and warm manner, handle in-coming
patient telephone calls, scheduling appointments, handling patient queries, collecting and obtaining accurate insurance information, and
time of service collections as required.

Description of Duties:

• Acts as the first point of contact for patients in the
  clinical setting and provides high-level customer service consistently to both internal and external customers, while upholding UT Health
  RGV’s mission, values, and promoting service lines.
• Accurately and completely registers patients by obtaining patient demographic
  information, while maintaining patient confidentiality in according with HIPAA guidelines.
• Responsible for scheduling,
  rescheduling, and cancelling all patient appointments as needed and when appropriate to maximize patient flow and clinic efficiency.
• Responsible for answering incoming calls in a professional, timely manner, ensuring caller’s needs are met and accurate information is
  relayed and obtained.
• Completes reminder calls as needed; greets incoming patients and visitors in person or on the telephone and
  promotes active listenings responsively to patient concerns or complaints and provides or seeks appropriate remedies while promoting quality
  care.
• Check’s in and check’s out patients through the appropriate appointment workflows, including verifying patient insurance
  eligibility, scanning all necessary identification into the EMR system, and ensuring completion and accuracy of patient registration
  forms.
• Performs all necessary daily check-in and checkout tasks as required for reconciliation purposes, including next day
  preparation of charts, deposit reconciliation, and charge entry.
• Maintains patient confidentiality regarding access to patient and
  other clinical information via email, computer, fax, and mail.
• Verifies patient insurance eligibility and benefits through various
  payers, including commercial insurances, Medicaid, and Medicare.
• Obtains the necessary prior authorizations, referrals, and other
  insurance documentation needed for all visits as required by the insurance carrier.
• Performs all Time-of-Service collections
  including collecting copays, deductibles, and outstanding balances due on the account.
• Educates the patient/responsible parties
  regarding billing processes, financial responsibilities, third party benefit information and, provides estimates of out-of-pocket costs to
  patients.
• Establishes payment plans for outstanding balances and prepayment plans for future services; refers patients to Financial
  Counselors and screens for charity programs when appropriate.
• Answers frequently asked questions regarding clinic services and
  appointment related information and is seen as a source of knowledge to both internal and external customers and knows when to escalate
  questions and concerns.
• Demonstrates respectful, courteous, professional, and appropriate behavior that represents the core values
  of UT Health RGV and supports the image, mission, and goals of the clinical enterprise.
• May be required to provide coverage at
  various clinical sites as needed.
• Performs other administrative duties as assigned.

Supervision
Received:
General supervision from assigned supervisor.

Supervision Given:
May supervise assigned support
staff.

Required Education:
High School Diploma or equivalent.

Preferred Education:
Bi-lingual
(English/Spanish)

Licenses/Certifications:
Preferred: Completion of Medical Office Specialist certificate program or
Medical Administrative Assistant or closely related.

Required Experience:
Six (6) months of medical front-office, and/or
receptionist experience in patient registration, scheduling, providing customer service, and/or insurance verification and eligibility
experience or two (2) years of direct customer service.

Preferred Experience:
Previous experience with
insurance verification and eligibility with scheduling in a high-volume environment. Experience obtained in healthcare
setting.

Equipment:
Use of standard office equipment. Exceptional computer experience and skills required. Intermediate
level skill in Microsoft Office Suite, and ability to navigate an EMR system.

Working Conditions:
Needs to be able to
successfully perform all required duties. Office/Clinical Environment; some travel and weekend work may be required. May be exposed to
airborne illnesses when encountering patients. Exerting up to 20 pounds of force frequently, and/or a negligible amount of force constantly
to move objects. Must be able to sit for long periods of time. UTRGV is a distributed institution, which requires presence at multiple
locations throughout the Rio Grande Valley.

Other:
Tact, diplomacy, discretion, and confidentiality of medical information
required in all matters.

Physical Capabilities: N/A
Employment Category: Full-Time
Minimum Salary:
Commensurate with Experience
Posted Salary: Commensurate with Experience
Position Available Date: 09/18/2025
Grant
Funded Position: No
If Yes, Provide Grant Expiration Date:

EEO Statement:
It is the policy of The University
of Texas Rio Grande Valley to promote and ensure equal employment opportunities for all individuals without regard to race, color, national
origin, sex, age, religion, disability, sexual orientation, gender identity or expression, genetic information or protected veteran status.
In accordance with the requirements of Title VII of the Civil Rights Act of 1964, the Title IX of the Education Amendments of 1972, Section
504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act of 1990, as amended, our University is committed to comply
with all government requirements and ensures non-discrimination in its education programs and activities, including employment. We encourage
women, minorities and differently abled persons to apply for employment positions of interest.

Special Instructions to
Applicants:
Dear Applicant,

Human Resources will not be held responsible for redacting any confidential information from the
documents you attach with your application. The confidential information includes the following:

Date of
Birth
Gender
*Ethnicity/Race

Please make sure that you omit this information prior to submission. We are advising that
Human Resources will be forwarding your application to the department as per your submission. The University of Texas Rio Grande Valley
reserves the right to discontinue accepting applications prior to the stated close date of this position, after meeting the posting
requirement of three (3) calendar days.

If you have any questions, please visit our Careers site at https://careers.utrgv.edu for detailed contact information.

Additional
Information:
UTRGV is a distributed location institution and working location is subject to change based on need.

All UTRGV
employees are required to have a criminal background check (CBC). Incomplete applications will not be considered.

Substitutions to
the above requirements must have prior approval from the VP of HR & Regulatory Affairs.

To apply, visit https://careers.utrgv.edu/postings/48621jeid-c6595daa2f9a95459f1a53d6234b3432