UT Health Patient Access Rep./Sr. Patient Access Rep.- TMC, West, & North Houston in United States

Requisition Number

172272

Job Category

Allied Health

Job Title

Patient Access Rep./Sr. Patient Access Rep.- TMC, West, & North Houston

Status

Full-Time

# Hours Per Week

40

Shift/Work Schedule

School/Unit

McGovern Medical School

Department

Surgery

Job Location

Texas Medical Center

Job Summary

Where Creating the Best Hope for a Healthier Future Begins...

Position is responsible for ensuring medical necessity compliance, verifying eligibility, and posting payments.

Additional Summary Specific to Job

This position will be recruited as Patient Access Representative or Sr. Patient Access Representative depending on work experience and education.

Duties Include:

  • Assists in obtaining demographic, insurance and financial information from patient or guarantor. Enters information in computer system with a high degree of accuracy.

  • Explains all required forms to the patient or guarantor and obtains the necessary signatures.

  • Ensures medical necessity compliance by obtaining necessary data, reviewing Compliance System, communicating information to patient or guarantor and obtaining necessary signatures.

  • Protects the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility. Completes complex financial counseling including the review and submission of charity applications. Identifies alternative resources for financial reimbursement.

  • Assists in verifying insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required timeframes.

  • Posts payments in the computer system and generates the appropriate patient receipts.

  • Communicates in an effective and professional manner with Physicians, Care Management, ancillary departments, nursing units, physicians' office staff, insurance companies, as well as patients and their families (all Patient Access customers). Completes thorough and accurate documentation.

  • Adheres to all university policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.

  • Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.

  • Performs other duties as assigned.

Organizational Requirements

Patient Access Representative requirement:

CERTIFICATIONS/SKILLS:

Ability to multi-task.

Proficient typing/keyboarding skills.

MINIMUM EDUCATION:

High school diploma or equivalent.

MINIMUM EXPERIENCE:

Two years of experience in a hospital or medical business office setting.

Sr. Patient Access Representative requirement:

CERTIFICATIONS/SKILLS:

Ability to multi-task.

Proficient typing/keyboarding skills.

MINIMUM EDUCATION:

High school diploma or equivalent.

MINIMUM EXPERIENCE:

Four years of experience in a hospital or medical business office setting.

Departmental Requirements/Preferences

Proficient typing/keyboarding skills preferred;

Must be able to handle all functions of a front desk including but not limited to check-in, check-out, cash handling and batching, answering phones, scheduling, registration and other assigned clerical responsibilities

Salary Range

Commensurate with experience

This position works with Houston Independent School District (H.I.S.D.) students.

No

This position works with minors under the age of 18 years.

No

This position will be working in a laboratory or clinic

Yes

This position will use radiation sources

No

Pre Employment Conditions

Drug Test

TB Skin Test

Open to current UTHSC-H employees only?

No

Job Classification

regular

FLSA Status

Non-Exempt

Does this position accept online applications?

Yes

This is a grant funded position

No

Benefits Eligible

Yes

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