Patient Access Representative II - Neurosurgery - Spine Center

About the Role

Join the UTHealth Department of Neurosurgery's TMC Spine Center as a Patient Access Representative and play a vital role in delivering exceptional patient care from the very first interaction. In this dynamic position, you will help ensure a seamless patient experience by verifying insurance eligibility, maintaining medical necessity compliance, and accurately posting payments.

Responsibilities

• Obtains demographic, insurance, and financial information from patient or guarantor.
• Enters information in computer system with a high degree of accuracy.
• May schedule patient appointments and enter 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.
• Identifies alternative resources for financial reimbursement.
• 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.
• 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.

Requirements

• High School Diploma or equivalent required.
• 2 years of experience in a hospital or medical business office setting required.

Skills

None specified for certification, but the role requires attention to detail, customer focus, and the ability to thrive in a fast-paced healthcare environment.

Benefits

• 100% paid medical premiums for full-time employees.
• Generous time off including holidays, preventative leave day, vacation, and sick time (around 37-38 days per year).
• Vacation accrual increases with longevity.
• Longevity Pay (monthly payments after two years of service).
• Retirement/pension plan.
• Free financial and legal counseling.
• Free mental health counseling services.
• Gym membership discounts and access to wellness programs.
• Employee discounts including entertainment, car rentals, cell phones, etc.
• Resources for child and elder care.

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.

This position is security-sensitive pursuant to Texas Education Code 51.215 and Texas Government Code 411.094. Employees must permanently reside and work in the State of Texas.