Patient Access Representative I, II, Sr.

2 weeks ago

Houston TX, United States UTHealth Houston Full time

UTHealth Houston Department of Surgery - Interventional Gastroenterology Clinic in Bellaire is hiring a Patient Access Representative to join their team. The ideal candidate should have excellent phone communication skills, referral and insurance knowledge.
UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), 100% paid medical premiums for our full-time employees
Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year)
Build your future with our awesome retirement/pension plan
As a world-renowned institution, our employees’ wellbeing is important to us. Free financial and legal counseling
Free mental health counseling services
Other employee discounts including entertainment, car rentals, cell phones, etc.
Resources for child and elder care
Responsible for ensuring medical necessity compliance, verifying eligibility, and posting payments.
Obtains demographic, insurance and financial information from patient or guarantor. Enters information in computer system with a high degree of accuracy.
May schedule patient appointments and enter required information in the computer system in an accurate and timely manner.
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.
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). Adheres to all university policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.
serves as preceptor, mentor, and resource to less experienced staff.
Proficient typing/keyboarding skills.
High School Diploma or equivalent
One (1) year of experience in a hospital or medical business office setting.
Veteran Information:
Military occupations that relate to the initial selection criteria and registration or licensure requirements for this position may include but are not limited to: 68G, 70E, 0808, 4A0X1

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