Patient Access Representative I/II - Colorectal Surgery (Southeast Houston)

Position Summary

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

Position Key Accountabilities

• Obtains demographic, insurance and financial information from patient or guarantor.
• Enters information in computer system with a high degree of accuracy.
• Schedules patient appointments and enters 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.
• Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required timeframes.
• 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 (all Patient Access customers).
• Completes thorough and accurate documentation.
• Adheres to all university policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.
• Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
• Performs other duties as assigned.

Certification/Skills

None

Minimum Education

High School Diploma or equivalent required

Minimum Experience

1 year of experience in a hospital or medical business office setting required

Physical Requirements

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.

Security Sensitive

This position is a security-sensitive position pursuant to Texas Education Code 51.215 and Texas Government Code411.094.

Veteran Information

Military occupations that relate to the initial selection criteria and registration or licensure requirements for this position may include but are not limited to: 68G, 70E, 0808, 4A0X1 For a complete list please visit www.uthealth-veterans.jobs.

Residency Requirement

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