Front Office Specialist II - TCP Westwood

At Texas Children’s Hospital, our mission starts with our people. Guided by our HEART values—Humility, Excellence, Accountability, Respect, and Trust—we strive to create a workplace where teammates feel valued, supported, and empowered to do their best work every day.

We are searching for a Front Office Specialist II - TCP Westwood - someone to coordinate and perform the scheduling of patients, receive and greet visitors, answer and handle incoming calls, coordinate the referral process, enter accurate billing information into system and transmit accurate claims while working collaboratively with other members of the Healthcare Team.

Think you’ve got what it takes?

• Ability to provide excellent customer service, to act in a professional manner, to type, to file, to use a multi-line telephone, computer, fax and copier
• Knowledge of related OSHA guidelines and requirements
• Knowledge of general office tasks, confidentiality, medical terminology and managed care referral processes.

• Greets patients and visitors upon arrival utilizing Creating SMILES philosophies and AIDET principles.
• Assists patients with check in/check out.
• Schedule appointments
• Verifies accurate patient demographic information with each visit
• Enters data into electronic health record and electronic billing system
• Answers telephone within three (3) rings and directs calls per practice protocol.
• Enters hospital charges into electronic billing system with 100% accuracy and within timelines established
• Balances payments received daily.
• Assesses patient’s eligibility for referral by verifying coverage with payer prior to initiating referral.
• Documents eligibility in the electronic health record per practice protocol.
• Identifies and documents network providers for appropriate referral.
• Notifies provider when no provider in network is available.
• Completes paperwork and documentation for authorized referrals within two (2) business days.
• Enters referrals into electronic health record within two (2) business days of receiving request from provider.
• Assists patients, per practice protocol, in setting appointments for referred services.
• Assists patients, per practice protocol, who have emergencies or have self-referred without prior authorization.

• HS diploma or GED
• 2 years related experience in an office like setting

"As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. "

Demonstrates SMILES and AIDET philosophies to patients, families and coworkers

• Acknowledges the customer
• Identifies self
• Gives customer a time expectation
• Keeps customers informed by explaining all tasks, processes and procedures
• Thank the customer
• Adheres to Standards of Behavior
• Tasks are measured by observation of evaluator