Patient Access Representative II - Insurance Verification (Hybrid)

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.
• 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.
• Maintains patient accounts by monitoring, reviewing and resolving issues on assigned reports.

Accountabilities

• 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).
• Completes thorough and accurate documentation.
• Maintains a safe environment by adhering to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
• Promotes professional growth and development by meeting requirements for mandatory/continuing education, skills competency, and supporting department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
• Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.

Qualifications

• Two (2) years of experience in a hospital or customer service setting.
• Ability to multi-task.
• Proficient typing/keyboarding skills.