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Patient Access Representative II
2 months ago
About the Role:
UTHealth is seeking a highly skilled Patient Access Representative II to join our team in the Department of Family Medicine. As a key member of our team, you will be responsible for ensuring medical necessity compliance, verifying eligibility, and posting payments.
Key Responsibilities:
- Obtain demographic, insurance, and financial information from patients or guarantors and enter it into our computer system with a high degree of accuracy.
- Schedule patient appointments and enter required information into the computer system in an accurate and timely manner.
- Explain all required forms to patients or guarantors and obtain the 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 the required timeframes.
- Post payments in the 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, 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.
Requirements:
- Ability to multi-task.
- Proficient typing/keyboarding skills.
- High school diploma or equivalent.
- Two years of experience in a hospital or medical business office setting.
- Previous experience utilizing EPIC is highly preferred.
- Experience with scheduling and navigating insurance web portals is highly preferred.
