Patient Access Representative II - ER - FT, Days
Memorial Hermann Health System · Sugar Land, TX · 1 mo ago
HealthcareFull-time
At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency.
Job Summary
The position is responsible for scheduling patient appointments, ensuring medical necessity compliance, verifying eligibility, and posting payments.
Schedule
Wednesday – Saturday, 7 a.m. – 7 p.m.
Minimum Qualifications
- Education: High School Diploma or GED preferred
- Licenses/Certifications: None
- Experience / Knowledge / Skills: Two (2) years of experience in a hospital or customer service setting; ability to multi‑task; proficient typing/keyboarding skills
Responsibilities
- Schedule patient appointments and enter required information in the computer system accurately and timely.
- Obtain demographic, insurance, and financial information from patient or guarantor and enter it with a high degree of accuracy.
- Explain all required forms to the patient or guarantor and obtain the necessary signatures.
- Ensure medical necessity compliance by obtaining necessary data, reviewing the Compliance System, communicating information to patient or guarantor, and obtaining required signatures.
- Protect the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options, and screening for eligibility.
- Verify insurance eligibility and benefits and ensure all notifications and authorizations are completed within required timeframes.
- Post payments in the computer system and generate appropriate patient receipts.
- Monitor, review, and resolve patient account issues on assigned reports.
- Communicate effectively and professionally with physicians, ancillary departments, nursing units, physicians’ office staff, insurance companies, patients, and their families.
- Complete thorough and accurate documentation.
- Ensure safe care to patients, staff, and visitors; adhere to all Memorial Hermann policies, procedures, and standards within budgetary specifications, including time management, supply management, productivity, and quality of service.
- Promote individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency; support department‑based goals; serve as preceptor, mentor, and resource to less experienced staff.
- Demonstrate commitment to caring for every member of our community by creating compassionate and personalized experiences.
- Model Memorial Hermann’s service standards by providing safe, caring, personalized, and efficient experiences to patients and colleagues.
- Other duties as assigned.