Patient Access Representative II - FT, OPID SW

Schedule

• Schedules patient appointments and enters required information in the computer system in an accurate and timely manner.
• Enters demographic, insurance and financial information from patient or guarantor into the computer system with a high degree of accuracy.
• Explains all required forms to the patient or guarantor and obtains the necessary signatures.

Financial Integrity

• 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.
• 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.

Accountability

• Maintains patient account issues on assigned reports.
• Communicates in an effective and professional manner with Physicians, ancillary departments, nursing units, physicians’ office staff, insurance companies, as well as patients and their families (all Patient Access customers).

Documentation

• Completes thorough and accurate documentation.

Care

• Maintains safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.

Growth & Development

• 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.

Community

• Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences.
• Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.