Senior Patient Services Representative- Cancer Center (Medical Center)
Houston Methodist · Houston, TX · 1 mo ago
HealthcareFull-time
Responsibilities
- Perform patient check‑in and check‑out functions.
- Schedule appointments and manage complex scheduling processes and clinic protocols.
- Serve as a role model and mentor for less experienced staff, providing next‑level resolution for problems.
- Support timely, accurate claims submission and perform registration and other revenue‑cycle functions.
- Provide general operations assistance and patient service tasks specific to the department’s scope.
People Essential Functions
- Contribute to a positive, team‑focused work environment.
- Collaborate with the interprofessional health‑care team, communicating pertinent patient care information comprehensively.
- Coordinate patient flow with consistency, timeliness, and expert skill while meeting priority standards.
- Notify appropriate parties of issues that may cause service delays or denials.
- Handle add‑ons, reschedules, and cancellations according to department protocol.
Service Essential Functions
- Use excellent verbal, non‑verbal, and written communication to deliver high‑quality service to patients, physicians, guests, and employees.
- Respond promptly to requests from staff, patients, physicians, and other team members.
- Recognize and respond appropriately to urgent or emergent situations per protocol.
- Contribute to patient, employee, and physician satisfaction and support effective revenue‑cycle processes.
- Generate reports, assist with department correspondence, and provide other administrative assistance as directed.
Quality/Safety Essential Functions
- Act as liaison among patients, medical staff, and third parties to resolve access and quality service matters.
- Maintain open communication with physicians, patients, and service areas regarding actions taken and resolutions.
- Enter patient and operational data into database systems with thoroughness, accuracy, and timeliness.
- Ensure patient information is conveyed appropriately while complying with confidentiality and HIPAA regulations.
- Assist clinical staff as permitted by the treatment center’s scope.
Finance Essential Functions
- Accurately record charge entry, registration, scheduling, insurance verification/coordination, and obtain authorizations or referrals to meet financial objectives.
- Perform front‑end revenue‑cycle duties as directed.
- Educate patients and others about billing processes and potential financial responsibilities.
- Organize time effectively, minimize incidental overtime, and set priorities.
- Utilize department resources, equipment, and supplies efficiently.
- Participate in inventory management to ensure adequate supply levels.
Growth/Innovation Essential Functions
- Display initiative to improve job functions and suggest process‑streamlining ideas for efficient patient flow and service quality.
- Seek opportunities for learning beyond baseline competencies with a focus on continual development.
Qualifications
- High school diploma or equivalent (GED, homeschool equivalency verification, or partial/full post‑secondary education).
- Five years of experience, including at least three years in a related healthcare role.
- Required licenses and certifications: (specific licenses not listed).
Skills and Abilities
- Demonstrated competence to safely perform assigned duties, validated through ongoing assessments.
- Proficient reading, writing, and speaking in English, especially for activities impacting patient or employee safety.
- Effective communication with patients, physicians, families, and co‑workers using a customer‑service focus and positive language.
- Strong customer service, telephone, and scheduling skills.
- Basic computer proficiency in word processing and electronic medical record systems.
- Knowledge of basic medical terminology.
- Ability to analyze and solve problems.
- Working knowledge of revenue‑cycle components and insurance requirements for reimbursement.
Additional Requirements
- FLSA status: Non‑exempt.
- Work attire: Business professional required; uniform not required; scrubs not permitted.
- On‑call: Not required, though employees may be called for emergencies (e.g., disaster, severe weather).
- Travel: No travel required within or outside the Houston Metropolitan area.