Patient Access Representative I, II, Sr. Colon
4 weeks ago
UTHealth Houston is seeking a highly skilled Patient Access Representative to join their team at the Colon & Rectal Surgery Clinic at Bellaire Station. As a key member of the healthcare 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 the computer system with high accuracy.
- Schedule patient appointments and enter required information in 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 the Compliance System, 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 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.
- High School Diploma or equivalent.
- One year of experience in a hospital or medical business office setting.
- Ability to multitask and proficient typing/keyboarding skills.
UTHealth Houston offers a comprehensive benefits package, including 100% paid medical premiums for full-time employees, generous time off, longevity pay, and a retirement/pension plan. We also offer work/life services, such as free financial and legal counseling, free mental health counseling services, gym membership discounts, and access to wellness programs.
We take care of our employees and provide a supportive work environment that promotes individual professional growth and development. If you are a motivated and detail-oriented individual who is passionate about delivering exceptional patient care, we encourage you to apply for this exciting opportunity.
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