PATIENT ACCESS REPRESENTATIVE

2 weeks ago

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

Do you thrive in a fast-paced hospital environment? We are looking for a Patient Access Representative who can serve as a liaison between patient/family, payers, Healthcare Information Management, Patient Financial Services, and other health care team members. You'll be asked to facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, financially securing, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement.

Does this job sound like you?

Responsibilities

* Maintain compliance with EMTALA, JCAHO, and all other hospital and government regulations applicable to the Admissions settings.
* 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
* Obtain, verify, and enter complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle
* Correctly follows the MPI process when changing clinically sensitive data (patient name, date of birth and gender) after a patient has been admitted
* Ensures all work queues are monitored and cleared 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
* Verifies insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into the patient accounting system
* Obtains insurance referrals and/or authorizations as required by individual insurance plans, documenting authorization/referral numbers in the appropriate fields for accurate billing
* To provide the highest possible customer service, patients are pre-registered 2-10 working days in advance of appointment/admission
* Maximizes the efficiency and accuracy of the collection process by pursuing collections at the time of service
* 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
* Compares copay information on insurance card to account notes for accuracy
* Collects patient liability at time of service, documenting amount and method collected
* Provides complete and accurate documentation on each visit to ensure compliance with hospital and government regulations
* Maintains accurate statistics on own productivity as part of departmental tracking and quality improvement
* Provides excellent customer service at all times by effectively meeting customer needs, understanding who the customers are, and building quality relationships

Qualifications

Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees at Texas Children's, unless approved for a medical or religious exemption

* High School Diploma or equivalent
* 6 months experience as an admission representative/counselor performing all aspects of the registration process
* An Associate's or Bachelor's degree may be substituted for the experience
* Knowledge of patient access services and the overall effect on the revenue cycle
* A thorough understanding of various insurance plans, payor networks, government resources, and medical terminology
* Ability to demonstrate self-initiated work behaviors, problem solve, interact with a variety of people while always displaying professional courtesy, excellent interpersonal and communication skills, and attention to detail
* Ability to use a networked computer that facilitates access to the Hospital's patient accounting system and other query software for verification of insurance benefits - all while maintaining patient confidentiality
* Previous experience with patient registration preferred

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.

  • PATIENT ACCESS REPRESENTATIVE

    1 week ago

    Houston, TX 77020, USA, United States Texas Children's Hospital Full time

    Job SummaryDo you thrive in a fast-paced hospital environment? We are looking for a Patient Access Representative who can serve as a liaison between patient/family, payers, Healthcare Information Management, Patient Financial Services, and other health care team members. You'll be asked to facilitate patient tracking and billing by obtaining/verifying...

  • PATIENT ACCESS REPRESENTATIVE II

    1 week ago

    Houston, TX 77020, USA, United States Common Spirit Full time

    OverviewBaylor St. Luke's Medical Center is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care neuroscience oncology transplantation and more. Our team's efforts have led to the creation of many research programs and initiatives to develop advanced treatments found nowhere else...

  • PATIENT ACCESS REPRESENTATIVE II

    5 days ago

    Houston, TX 77020, USA, United States Common Spirit Full time

    OverviewBaylor St. Luke's Medical Center is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care neuroscience oncology transplantation and more. Our team's efforts have led to the creation of many research programs and initiatives to develop advanced treatments found nowhere else...

  • PATIENT ACCESS REPRESENTATIVE PRN

    2 weeks ago

    Houston, TX 77020, USA, United States Texas Children's Hospital Full time

    Job SummaryWe 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...

  • PATIENT ACCESS REPRESENTATIVE

    1 week ago

    Houston, TX 77020, USA, United States Texas Children's Hospital Full time

    Job SummaryWe 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...

  • PATIENT ACCESS REPRESENTATIVE

    2 weeks ago

    Houston, TX 77020, USA, United States Texas Children's Hospital Full time

    Job SummaryDo you thrive in a fast-paced hospital environment? We are looking for a Patient Access Representative who can serve as a liaison between patient/family, payers, Healthcare Information Management, Patient Financial Services, and other health care team members. You'll be asked to facilitate patient tracking and billing by obtaining/verifying...

  • PATIENT ACCESS REPRESENTATIVE

    1 week ago

    Stafford, TX 77497, USA, United States Medical Professionals Full time

    Progressive Community Health Clinic in the Houston area is seeking a qualified Patient Service Representative for their Stafford office. The group has multiple facilities and prides themselves on providing quality care to patients of all ages! Patien Patient Access, Representative, Patient, Healthcare, Staffing

  • PATIENT ACCESS REP I

    5 days ago

    Houston, TX 77020, USA, United States Common Spirit Full time

    OverviewBaylor St. Luke's Medical Center is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care neuroscience oncology transplantation and more. Our team's efforts have led to the creation of many research programs and initiatives to develop advanced treatments found nowhere else...

  • PATIENT ACCESS REPRESENTATIVE

    1 week ago

    Morris, IL 60450, USA, United States Morris Hospital Full time

    DESCRIPTION OF POSITION The Patient Access Representative is a unique role within Morris Hospital and Healthcare Centers.# The Patient Access Representative welcomes the patient into the care delivery setting and initiates the administrative systems that will lay the groundwork for the patient#s clinical care as well as the financial documentation....

  • PATIENT ACCESS REPRESENTATIVE

    1 week ago

    Dallas, TX 75219, USA, United States Scottish Rite for Children Full time

    Our patients are our number one priority! We're committed to giving children back their childhood!Job Posting Title: Patient Access Representative (Dallas)Location: Dallas - HospitalAdditional Posting Details: Monday - Friday8:00 a.m. - 4:30 p.m.Job Description: Duties/Responsibilities+ Pre-registration and full registration+ Obtaining Scottish Rite...

  • PATIENT ACCESS REPRESENTATIVE

    2 weeks ago

    Conway, AR 72034, USA, United States Conway Regional Medical Center Full time

    OverviewThe Patient Access Representative is responsible for obtaining all pertinent information, such as demographic and insurance information, that is needed from the patient or representative of the patient upon admission.Qualifications* High School Diploma or equivalent.* Previous work experience as a Patient Access Representative or equivalent...

  • PATIENT ACCESS REPRESENTATIVE

    1 week ago

    New Brunswick, NJ 08901, USA, United States RWJBarnabas Health Full time

    Patient Access RepresentativeReq #:0000142994Category:Billing/Collections/RegistrationStatus:Part-TimeShift:DayFacility:RWJ New BrunswickDepartment:Emergency Dept Access ServiceLocation:Main Hospital - New Brunswick, One Robert Wood Johnson Place, New Brunswick, NJ 08901The Patient Access Representative I position plays a key role in the health system and in...

  • PATIENT ACCESS REPRESENTATIVE

    1 week ago

    Houma, LA 70361, USA, United States Terrebonne General Health System Full time

    Day (United States of America)Department:100 - 824000 TG - Patient AccessPosition Description: The Patient Access Representative validates and registers all patients' demographic, medical and financial information in an accurate, complete and timely manner in accordance with the departmental standards and procedures.Qualifications:1. Knowledge of medical...

  • PATIENT ACCESS REPRESENTATIVE

    2 weeks ago

    Scottsdale, AZ 85258, USA, United States Envita Medical Center Full time

    Job Title: Patient Access RepresentativeLocation: Located specifically in North Scottsdale, at East Bell Road and the 101Compensation: Starting at $18.00 per hourEmployment Type: Full Time with Benefits (Medical, Life, Dental, Vision, and 401K)Schedule: Monday through Friday during clinic hours 7:00 a.m.- 6:00 p.m. (8-hour shifts)JOB DESCRIPTION: Patient...

  • PATIENT ACCESS REPRESENTATIVE II

    1 week ago

    Houston, TX 77007, USA, United States Catholic Health Initiatives Full time

    **Overview**Baylor St. Luke's Medical Center is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care neuroscience oncology transplantation and more. Our team's efforts have led to the creation of many research programs and initiatives to develop advanced treatments found nowhere...

  • PATIENT ACCESS REPRESENTATIVE

    2 weeks ago

    Scottsdale, AZ 85260, USA, United States Envita Medical Center Full time

    Job Title: Patient Access RepresentativeLocation: Located specifically in North Scottsdale, at East Bell Road and the 101Compensation: Starting at $18.00 per hourEmployment Type: Full Time with Benefits (Medical, Life, Dental, Vision, and 401K)Schedule: Monday through Friday during clinic hours 7:00 a.m.- 6:00 p.m. (8-hour shifts)JOB...

  • PATIENT ACCESS REPRESENTATIVE II

    1 week ago

    Houston, TX 77054, USA, United States CommonSpirit Health Full time

    Baylor St. Luke’s Medical Center is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care neuroscience oncology transplantation and more. Our team’s efforts have led to the creation of many research programs and initiatives to develop advanced treatments found nowhere else in...

  • Patient Access Representative

    3 weeks ago

    Houston, United States Aveanna Healthcare LLC Full time

    Aveanna Healthcare - [Medical Records Clerk] As a Patient Access Representative at Aveanna Healthcare, you'll: Send prescription and authorization requests to medical offices and insurance companies for renewals and prescription/insurance changes; Follow up with medical offices and insurance companies as needed to ensure requests are received; Resolve...

  • PATIENT ACCESS REPRESENTATIVE

    1 week ago

    Obetz, OH 43207, USA, United States MARYHAVEN, Inc. Full time

    Patient Access Representative Job DescriptionUnique opportunity to join Maryhaven, Central Ohio's largest and most comprehensive behavioral services provider specializing in addiction recovery. We are looking for skilled, talented, and compassionate people to join our team! Maryhaven was founded on the principles of Diversity, Equity, and Inclusion in 1953,...

  • PATIENT ACCESS COORDINATOR

    1 week ago

    Houston, TX 77020, USA, United States Texas Children's Hospital Full time

    Job SummaryWe are searching for a Patient Access Coordinator - someone who works well in a fast-paced hospital setting. In this position, you will perform scheduling & registration duties and supervise specific duties associated with the daily operations. You will be responsible for ensuring accurate and timely scheduling of patient appointments and accurate...