Bilingual Physician Practice Patient Access Representative - Scheduling Call Center

Memorial Hermann Health System

About The Position

The Bilingual Physician Practice Patient Access Representative works in a scheduling call center and is responsible for scheduling patient appointments, ensuring medical necessity compliance, verifying eligibility, and posting payments. The role gathers and accurately enters patient demographic, insurance, and financial information; explains required forms and obtains signatures; and helps protect the facility’s financial integrity by collecting patient liability, discussing payment options, and arranging payments. The representative also resolves assigned patient account issues and communicates professionally with patients, families, physicians, staff, and insurance companies. The position supports safe, compassionate, personalized, and efficient care while following Memorial Hermann policies, procedures, and service standards.

Requirements

Two years of experience in a hospital or customer service setting.
Ability to multitask.
Proficient typing and keyboarding skills.

Nice To Haves

High school diploma or GED preferred.

Responsibilities

Schedule patient appointments and accurately enter required information into the computer system in a timely manner.
Obtain demographic, insurance, and financial information from patients or guarantors and enter it accurately into the computer system.
Explain required forms to patients or guarantors and obtain necessary signatures.
Ensure medical necessity compliance by obtaining required data, reviewing the Compliance System, communicating information to patients or guarantors, and obtaining necessary signatures.
Collect patient liability, establish payment arrangements, discuss payment options, and screen for eligibility to protect the facility’s financial integrity.
Verify insurance eligibility and benefits and ensure notifications and authorizations are completed within required timeframes.
Post payments in the computer system and generate appropriate patient receipts.
Monitor, review, and resolve patient account issues on assigned reports.
Communicate effectively and professionally with physicians, ancillary departments, nursing units, physicians’ office staff, insurance companies, patients, and families; complete thorough and accurate documentation.
Ensure safe care for patients, staff, and visitors and adhere to Memorial Hermann policies, procedures, standards, budgetary specifications, and expectations for time and supply management and productivity.
Meet mandatory and continuing education and skills competency requirements; support department goals and serve as a preceptor, mentor, and resource to less experienced staff.
Model Memorial Hermann’s service standards by providing safe, caring, personalized, and efficient experiences to patients and colleagues.
Perform other duties as assigned.