UT Health - Katy, TX

posted 3 days ago

Full-time - Entry Level
Katy, TX
Educational Services

About the position

The Patient Access Representative I / II / Senior at UTHealth Houston plays a crucial role in ensuring the smooth operation of patient access services within the healthcare system. This position is responsible for verifying patient eligibility, ensuring compliance with medical necessity, and managing financial transactions related to patient care. The representative will interact with patients, their families, and various healthcare professionals to gather necessary information and facilitate appointments. This role is essential in maintaining the financial integrity of the facility by collecting patient liabilities and establishing payment arrangements. The representative will also be involved in complex financial counseling, including the review and submission of charity applications, and will identify alternative resources for financial reimbursement. The position requires a high degree of accuracy in data entry and documentation, as well as effective communication skills to liaise with various stakeholders, including physicians, care management teams, and insurance companies. In addition to the core responsibilities, the Patient Access Representative is expected to promote their professional growth by participating in continuing education and serving as a mentor to less experienced staff. The role may also involve scheduling patient appointments and ensuring that all required forms are explained and signed by the patient or guarantor. Adherence to university policies and procedures is critical, as is the ability to manage time and resources effectively. The representative will also be responsible for maintaining a professional demeanor while interacting with patients and their families, ensuring that all documentation is thorough and accurate. This position is vital in creating a positive patient experience and supporting the overall mission of UTHealth Houston to provide excellent patient care.

Responsibilities

  • Obtains demographic, insurance and financial information from patient or guarantor and enters it into the computer system with high accuracy.
  • Schedules patient appointments and enters required information in the computer system accurately and timely.
  • Explains all required forms to the patient or guarantor and obtains necessary signatures.
  • Ensures medical necessity compliance by obtaining necessary data and communicating information to the patient or guarantor.
  • Protects the financial integrity of the facility by collecting patient liability and establishing payment arrangements.
  • Verifies insurance eligibility and benefits, ensuring all notifications and authorizations are completed within required timeframes.
  • Posts payments in the computer system and generates appropriate patient receipts.
  • Communicates effectively and professionally with physicians, care management, ancillary departments, and patients.
  • Adheres to all university policies, procedures, and standards, including time management and accuracy of practice.
  • Promotes individual professional growth and development by meeting continuing education requirements and supporting department-based goals.
  • Performs other duties as assigned.

Requirements

  • High School Diploma or equivalent.
  • One (1) year of experience in a hospital or medical business office setting.
  • Ability to multi-task and proficient typing/keyboarding skills.

Benefits

  • 100% paid medical premiums for full-time employees
  • Generous time off (around 37-38 days per year)
  • Longevity Pay after two years of service
  • Retirement/pension plan
  • Free financial and legal counseling
  • Free mental health counseling services
  • Gym membership discounts and access to wellness programs
  • Employee discounts including entertainment, car rentals, cell phones, and more
  • Resources for child and elder care
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