Patient Access Representative III - Cardiology Floater

Schedule

Monday - Friday, 8:30 AM to 5:00 PM
Shift covers TMC, Greater Heights, and Katy locations based on operational needs and patient volume.

Job Description

Schedules patient appointments and enters required information in the computer system in an accurate and timely manner.
Obtains demographic, insurance and financial information from patient or guarantor. Enters information in 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.
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.
Monitors, reviews and resolves patient account issues on assigned reports.
Completes quality review and monitors for process improvement opportunities.

Principal Accountabilities

• Schedules patient appointments and enters required information in the computer system in an accurate and timely manner.
• Obtains demographic, insurance and financial information from patient or guarantor. Enters information in 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.
• 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.
• Maintains patient accounts by monitoring, reviewing and resolving issues on assigned reports.
• Completes quality review and monitors for process improvement opportunities.

Qualifications

• Education: High School Diploma or GED preferred
• Licenses/Certifications: (None)
• Experience / Knowledge / Skills: Three (3) years of experience in a hospital or medical business office setting
  Ability to multi-task
  Proficient typing/keyboarding skills
  Supervisory and/or leadership experience preferred