Patient Access Representative II

1 day ago


Sugar Land, Texas, United States Memorial Hermann Health System Full time
Job Summary

As a Patient Access Representative II at Memorial Hermann Health System, you will play a vital role in ensuring the smooth operation of our healthcare facilities. Your primary responsibility will be to schedule patient appointments, verify medical necessity compliance, and ensure accurate and timely posting of payments.

Key Responsibilities
  • Schedule patient appointments and enter required information in the computer system with a high degree of accuracy and efficiency.
  • Obtain demographic, insurance, and financial information from patients or guarantors and enter it into the computer system.
  • Explain all required forms to patients or guarantors and obtain necessary signatures.
  • Ensure medical necessity compliance by obtaining necessary data, reviewing compliance systems, and communicating information to patients or guarantors.
  • Protect the financial integrity of the 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 the required timeframes.
  • Post payments in the computer system and generate patient receipts.
  • Monitor, review, and resolve patient account issues on assigned reports.
  • Communicate effectively and professionally with physicians, ancillary departments, nursing units, physicians' office staff, insurance companies, patients, and their families.
  • Ensure safe care to patients, staff, and visitors by adhering to all Memorial Hermann policies, procedures, and standards.
  • Promote individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, and supporting department-based goals.
Requirements
  • High School Diploma or GED preferred.
  • Two (2) years of experience in a hospital or customer service setting.
  • Ability to multi-task and proficient typing/keyboarding skills.


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