Patient Access Representative II - Insurance Verification (Hybrid)

About the role

At Memorial Hermann we pursue a common goal of delivering high‑quality, efficient care while creating exceptional experiences for every member of our community—including our employees. When our employees feel cared for, heard, and valued, they are inspired to create moments that exceed expectations, prioritizing safety, compassion, personalization, and efficiency. This position is responsible for scheduling patient appointments, ensuring medical‑necessity compliance, verifying eligibility, and posting payments.

Responsibilities

• Schedule patient appointments and enter required information in the computer system accurately and timely.
• Obtain demographic, insurance, and financial information from the patient or guarantor and enter it with a high degree of accuracy.
• Explain all required forms to the patient or guarantor and obtain necessary signatures.
• Ensure medical‑necessity compliance by obtaining data, reviewing the Compliance System, communicating with the patient or guarantor, and obtaining required signatures.
• Protect the facility’s financial integrity by collecting patient liability, establishing payment arrangements, discussing payment options, and screening for eligibility.
• Verify insurance eligibility and benefits; 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 families.
• Complete thorough and accurate documentation.
• Adhere to all Memorial Hermann policies, procedures, and standards, including safety, time management, supply management, productivity, and quality of service.
• Promote professional growth by meeting mandatory/continuing education requirements, maintaining skills competency, and serving as a preceptor, mentor, and resource to less‑experienced staff.
• Model Memorial Hermann’s service standards by providing safe, caring, personalized, and efficient experiences to patients and colleagues.
• Other duties as assigned.

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.

Schedule

Monday – Friday, 8 a.m. – 5 p.m. – Monday, Wednesday, and Friday are in‑office; Tuesday and Thursday are remote (remote work available after training and subject to change).