Physician Practice Patient Access Representative II - Greater Heights Cardiology

Memorial Hermann - Houston, TX

Full-time - Entry Level

Houston, TX

Hospitals

About the position

The Physician Practice Patient Access Representative II at Memorial Hermann Health System is responsible for scheduling patient appointments, ensuring compliance with medical necessity, verifying eligibility, and processing payments. This role is crucial in delivering high-quality, efficient care while creating exceptional experiences for patients and their families. The representative will work closely with various stakeholders, including patients, physicians, and insurance companies, to ensure smooth operations and adherence to organizational standards.

Responsibilities

• Schedules patient appointments and enters required information in the computer system accurately and timely.
• Obtains demographic, insurance, and financial information from patients or guarantors.
• Explains all required forms to patients or guarantors and obtains necessary signatures.
• Ensures medical necessity compliance by obtaining necessary data and communicating information to patients or guarantors.
• 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.
• Monitors, reviews, and resolves patient account issues on assigned reports.
• Communicates effectively and professionally with physicians, ancillary departments, nursing units, and patients.
• Completes thorough and accurate documentation.
• Ensures safe care to patients, staff, and visitors, adhering to all policies and procedures.
• Promotes individual professional growth and development by meeting education requirements and supporting department-based goals.

Requirements

• High school diploma or GED preferred.
• Two years of experience in a hospital or customer service setting.
• Proficient typing/keyboarding skills.
• Ability to multi-task.