Job Description:

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Outpatient Utilization Specialist - Tiffany Springs

TMC Truman Medical Centers

Job Location

Truman Support Center

Kansas City, Missouri

Department

Central Access Services

Position Type

Full time

Work Schedule

8:00AM - 4:30PM

Hours Per Week

40

If you want to work where the action is, University Health (UH) is the place for you. Known as "Kansas City's Essential Hospital," UH is the safety net healthcare system for Jackson County/Kansas City. We are an academic medical center, serving as the primary teaching institution for the UMKC Schools of Medicine, Nursing, Dentistry, and Pharmacy.A 547-bed, not-for-profit health system, UH delivers the highest-quality medical care for our patients, with compassion, empathy, and unparalleled dedication to service. During the 2020 pandemic, we also stepped forward as a regional leader in COVID care and testing. UH is comprised of three campuses:

UH Heath Sciences District is located in downtown Kansas City, Missouri.The Health Sciences District represents a robust academic community, leading the forefront of biomedical research and cutting edge technology. Partnered with UMKC and Children's Mercy Hospital, University Health serves as the cornerstone in educating the next generation of healthcare practitioners. As a Level 1 Trauma Center, we're a leader in Emergency Medicine and Critical Care, with world-class expertise in chronic disease management and women's services, including high-risk maternity care. The Health Sciences District is also home to the University Health 1 building, UH's beautiful specialty outpatient clinics and day-surgery center. We have just opened University Health 2, which will house all of our primary care and women's care clinics.

UH Lakewood is located between Kansas City and Lee's Summit, Missouri, offering residents of Eastern Jackson County access to a modern community hospital with a continuum of outpatient services designed to meet the needs of families. UH Lakewood specializes in high-risk maternal and child care, and serves as one of the few Kansas City metro area institutions accredited by The Joint Commission in Orthopedics and Palliative Care.It also is home to a 188-bed, fully accredited long-term care center.

UH Behavioral Health is the KC metro area's largest, most comprehensive provider of mental health services. The Healing Canvas Building, located in Kansas City's vibrant Crossroads Arts District, is its epicenter, providing a broad list of outpatient services. We also offer psychiatric inpatient care, and we deliver therapeutic services through our community outreach clinics. We are a leader in the Trauma-Informed Care Movement, and provide training, coaching and consulting to outside organizations.

Job Description

The Outpatient Utilization Specialist can be the first point of contact for many patients into the Outpatient department, and many times, into Truman Medical Center. This position is responsible for providing a positive image to the patient and family. Ask key questions and correctly and rapidly facilitate the prior authorization and scheduling process for outpatient patients, by ensuring that authorization and patient financial requirements are met. Communicate financial responsibility to the scheduling personnel. Work with FCC Staff to ensure that discount and/or Medicaid information is accurate and, in cases of other commercial insurance, ensures that member information is accurate. Facilitate the flow of information between the clinical areas, insurance company and the Patient Accounting Department. Document all pertinent information in the appointment area of the order. Perform clerical work using various applications.

Minimum Requirements

• High school diploma or equivalent.


• Experience in healthcare insurance verification and billing protocols.


• Two years experience in face to face and/or customer service or equivalent field.


• Working knowledge of medical terminology, CPT codes, and ICD9 codes. Working knowledge of Microsoft Office products.


• Ability to type 30 wpm.


• Communication and customer service skills required to gather and exchange information with patients, families, hospital staff members, physicians and third party payers.


• Ability to work and think independently, ability to handle sensitive information, with discretion, attention to detail, ability to handle multi-tasking and change in priorities.

Apply Now