PATIENT ACCESS REPRESENTATIVE PRN

2 weeks ago

Houston TX USA, United States Texas Children's Hospital Full time
Job Summary

We are searching for a Patient Access Representative -- someone who works well in a fast-paced setting. In this position, you will facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, and financially securing and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement. You will also identify non-resource patients for possible eligibility for government resources and/or the hospital's charity program and refer these patients to a financial counselor.

Think you've got what it takes?

Responsibilities

* Obtains, verifies, and enters complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle
* Ensures assigned DARs and/or work queues are monitored and worked on a daily basis, ensuring that all elements of the accounts are secured for billing
* Financially secures all patient accounts to maximize hospital reimbursement in a customer service-oriented fashion
* Obtains insurance referrals, as required by individual insurance plans, documenting referral numbers in the appropriate fields for accurate billing.
* Contacts patient/guarantor prior to date of service to inform them of estimated payment due at the time of service. Documents details of all successful and unsuccessful attempts at patient/guarantor contact
* Obtains signatures from patient/guarantor for release of information, general consent to treat, statement of financial responsibility, Medicare and Champus forms, and other required paperwork, as measured by account audits, medical record review and feedback from downstream departments
* Documents in account notes all pertinent information required to successfully bill and collect on the claim
* Provides continuous support of process improvements through compilation of data, excellent customer service, monitoring and evaluation of departmental roles, and proposals for process improvement initiatives

Qualifications

Being fully vaccinated against COVID-19 is required for all employees unless approved for a medical or religious exemption

* High school diploma or GED required
* 6 months experience as an admissions representative/counselor performing all aspects of the registration process required
* Associate's or bachelor's degree may be substituted for the required experience

Company Profile

Since 1954, Texas Children's has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children's hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city's Best Places to Work for ten consecutive years.

Texas Children's comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children's Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children's Hospital West Campus, a community hospital in suburban West Houston; and Texas Children's Hospital The Woodlands, the first hospital devoted to children's care for communities north of Houston. We have also created the nation's first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children's Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.

To join our community of 14,000 dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org. At Texas Children's Hospital, diversity, equity, and inclusion are at the core of our values and mission for the women and children that we serve. We are committed to providing a diverse and inclusive work environment for all faculty, staff and learners throughout our organization. We believe that each member of our one amazing team provides enrichment that allows us to create a lasting legacy for future employees of this great organization.

Texas Children's is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

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