Patient Access Representative

2 weeks ago


Houston, United States Texas Children's Hospital Full time

Job DescriptionWe are searching for a Patient Access Representativesomeone 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?Qualifications 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"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. "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 initiativesAbout UsTexas Children's Pavilion for Women is a comprehensive obstetrics/gynecology facility and one of a select few hospitals nationwide that provides women, mothers and babies with a full continuum of high-quality, expert health care. Offering a full spectrum of maternal and fetal medicine services, including an array of fetal diagnostic procedures and highly specialized fetal surgeries, the Pavilion for Women is connected to Texas Children's Hospital via a two-story circular sky bridge to enhance patient care by providing physicians, staff and patient families with rapid access to other pediatric subspecialists. Three private OB/GYN practices, The Family Fertility Center, The Menopause Center and The Women's Place - Center for Reproductive Psychiatry are all housed here. Additionally, we also recently opened a community-based OB/GYN practice in Pearland. 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. 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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