Patient Access Representative I/II/Sr. - Practice Plan, Psych and Behavioral Sciences

The University of Texas System - Houston, TX

Full-time - Entry Level

Houston, TX

Educational Services

About the position

The Patient Access Representative I/II/Sr. role at UTHealth Houston is essential for supporting the Department of Psychiatry and Behavioral Sciences. This position is responsible for ensuring medical necessity compliance, verifying patient eligibility, and managing payment postings. The representative plays a crucial role in maintaining the financial integrity of the facility while providing excellent service to patients and their families.

Responsibilities

• Obtain demographic, insurance, and financial information from patients or guarantors and enter it accurately into the computer system.
• Schedule patient appointments and ensure timely entry of required information.
• Explain necessary forms to patients or guarantors and obtain required signatures.
• Ensure medical necessity compliance by gathering necessary data and communicating with patients or guarantors.
• Protect the financial integrity of the facility by collecting patient liabilities and establishing payment arrangements.
• Verify insurance eligibility and benefits, ensuring all notifications and authorizations are completed on time.
• Post payments in the computer system and generate appropriate patient receipts.
• Communicate effectively with physicians, care management, and other departments, ensuring thorough documentation.
• Adhere to university policies and standards, managing time and resources effectively.
• Promote professional growth by meeting continuing education requirements and mentoring less experienced staff.

Requirements

• High School Diploma or equivalent.
• One 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 wellness programs
• Employee discounts including entertainment and car rentals
• Resources for child and elder care