PATIENT SERVICES REPRESENTATIVE I (UT Health RGV Multispecialty
Surgical Specialty - Edinburg)
Number of Vacancies:
School of Medicine / Surgical Specialty and MSK
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
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
- 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
- Performs all necessary daily check-in and checkout tasks as
required for reconciliation purposes, including next day
preparation of charts, deposit reconciliation, and charge
- Maintains patient confidentiality regarding access to patient
and other clinical information via email, computer, fax, and
- Verifies patient insurance eligibility and benefits through
various payers, including commercial insurances, Medicaid, and
- 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
- Educates the patient/responsible parties regarding billing
processes, financial responsibilities, third party benefit
information and, provides estimates of out-of-pocket costs to
- 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
- May be required to provide coverage at various clinical sites
- Performs other administrative duties as assigned.
General supervision from assigned supervisor.
May supervise assigned support staff.
High School Diploma or equivalent.
Preferred: Completion of Medical Office Specialist certificate
program or Medical Administrative Assistant or closely
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
two (2) years of direct customer service.
Previous experience with insurance verification and eligibility
with scheduling in a high-volume environment. Experience obtained
in healthcare setting.
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.
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.
Tact, diplomacy, discretion, and confidentiality of medical
information required in all matters.
Commensurate with Experience
Commensurate with Experience
Position Available Date:
Grant Funded Position:
If Yes, Provide Grant Expiration Date:
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
Special Instructions to Applicants:
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
Date of Birth
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
for detailed contact 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 & Talent Development .
To apply, visit https://careers.utrgv.edu/postings/41038