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Patient Access Representative

2 months ago

Pearland, Texas, United States UTHealth Houston Full time
Job Summary

UTHealth Houston is seeking a highly skilled Patient Access Representative - Actat to join our team. As a key member of our patient access team, you will play a critical role in ensuring medical necessity compliance, verifying insurance eligibility, and posting payments.

Key Responsibilities
  • Assist in obtaining demographic, insurance, and financial information from patients or guarantors.
  • Enter information into our computer system with a high degree of accuracy.
  • Explain all 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.
  • Assist in verifying insurance eligibility and benefits and ensure all notifications and authorizations are completed within the required timeframes.
  • Post payments in our computer system and generate the appropriate 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, within budgetary specifications, 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, supports department-based goals, which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
Requirements
  • Ability to multi-task.
  • Proficient typing/keyboarding skills.
  • High School Diploma or equivalent required.
  • None.