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Patient Access Representative I/II/Senior
2 months ago
UTHealth is seeking a highly skilled Patient Access Representative I/II/Senior to join our team in Cypress, Texas. As a key member of our healthcare team, you will be responsible for ensuring medical necessity compliance, verifying patient eligibility, and posting payments.
Key Responsibilities- Obtain demographic, insurance, and financial information from patients or guarantors and enter it into our computer system with high accuracy.
- Schedule patient appointments and enter required information into the computer system in a timely and accurate manner.
- Explain required forms to patients or guarantors and obtain necessary signatures.
- Ensure medical necessity compliance by obtaining necessary data, reviewing our Compliance System, communicating information to patients or guarantors, and obtaining necessary signatures.
- Protect the financial integrity of our facility by collecting patient liability, establishing payment arrangements, discussing payment options, and screening for eligibility.
- Verify insurance eligibility and benefits and ensure all notifications and authorizations are completed within required timeframes.
- Post payments in the computer system and generate patient receipts.
- Communicate effectively and professionally with physicians, care management, ancillary departments, nursing units, physicians' office staff, insurance companies, patients, and their families.
- Complete thorough and accurate documentation.
- Adhere to all university policies, procedures, and standards, including time management, supply management, productivity, and accuracy of practice.
- Promote individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, and supporting department-based goals.
- Ability to multitask.
- Proficient typing/keyboarding skills.
- High School Diploma or equivalent.
- One (1) year of experience in a hospital or medical business office setting.
This role requires the ability to exert up to 50 pounds of force occasionally and/or up to 20 pounds frequently and/or up to 10 pounds constantly to move objects.
