Patient Access Representative PRN

About the Role

This position is responsible for scheduling patient appointments, ensuring medical necessity compliance, verifying eligibility, and posting payments. The role requires a detail-oriented individual with strong customer service skills to provide exceptional experiences for patients and their families.

Responsibilities

• Schedules patient appointments and enters required information in the computer system accurately and timely.
• Obtains demographic, insurance, and financial information from patients or guarantors, ensuring high accuracy in data entry.
• Explains required forms to patients or guarantors and obtains necessary signatures.
• Ensures medical necessity compliance by obtaining necessary data, reviewing the Compliance System, communicating with patients or guarantors, and securing required 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, ensuring all notifications and authorizations are completed within required timeframes.
• Posts payments in the computer system and generates appropriate patient receipts.
• Monitors, reviews, and resolves patient account issues on assigned reports.
• Communicates effectively and professionally with physicians, ancillary departments, nursing units, physicians’ office staff, insurance companies, patients, and their families.
• Completes thorough and accurate documentation.
• Adheres to Memorial Hermann policies, procedures, and standards, ensuring safe care for patients, staff, and visitors.
• Promotes professional growth by meeting mandatory/continuing education and skills competency requirements, supporting department goals, and serving as a preceptor, mentor, and resource to less experienced staff.
• Demonstrates commitment to creating compassionate and personalized experiences for every member of the community, modeling Memorial Hermann’s service standards.

Requirements

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