Patient Access Representative I​/II​/Senior - Katy Orthopedics

Overview

Patient Access Representative I / II / Senior – Katy Orthopedics

Join to apply for the Patient Access Representative I / II / Senior role at The University of Texas Health Science Center at Houston (UTHealth Houston).

Position Summary: Responsible for ensuring medical necessity compliance, verifying eligibility, and posting payments.

• Obtains demographic, insurance and financial information from patient or guarantor. Enters information in computer system with a high degree of accuracy.
• May schedule patient appointments and enter required information in the computer system in an accurate and timely manner.
• Explains all required forms to the patient or guarantor and obtains the necessary signatures.
• Ensures medical necessity compliance by obtaining necessary data, reviewing Compliance System, communicating information to patient or guarantor and obtaining necessary signatures.
• Protects the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility. Completes complex financial counseling including the review and submission of charity applications. Identifies alternative resources for financial reimbursement.
• Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required time frames.
• Posts payments in the computer system and generates the appropriate patient receipts.
• Communicates in an effective and professional manner with physicians, care management, ancillary departments, nursing units, physicians' office staff, insurance companies, as well as patients and their families. Completes thorough and accurate documentation.
• Adheres to university policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.
• Promotes professional growth by meeting requirements for mandatory/continuing education, skills competency; supports department goals; serves as preceptor/mentor to less experienced staff.
• Performs other duties as assigned.

• Ability to multi-task.
• Proficient typing/keyboarding skills.

High School Diploma or equivalent

One (1) year of experience in a hospital or medical business office setting.

Exerts up to 50 pounds of force occasionally and/or up to 20 pounds frequently and/or up to 10 pounds constantly to move objects.

This position is a security-sensitive position pursuant to Texas Education Code 51.215 and Texas Government Code; related notes and veteran information apply. For a complete list please visit (Use the "Apply for this Job" box below)..

Employees must permanently reside and work in the State of Texas.

• Entry level

• Full-time

• Health Care Provider

• Hospitals and Health Care