Patient Access Rep II

Memorial Hermann Health System•Cape Girardeau, MO

23h

About The Position

The Patient Access Rep II schedules patient appointments and supports accurate, efficient patient access by collecting and entering demographic, insurance, and financial information; ensuring medical necessity compliance; verifying insurance eligibility and benefits; completing required notifications and authorizations; collecting and posting payments; and resolving patient account issues. The position communicates professionally with patients and their families, physicians, clinical departments, office staff, and insurance companies. It also contributes to safe, compassionate, personalized service, follows Memorial Hermann policies and standards, supports departmental goals, and may serve as a preceptor, mentor, and resource to less experienced staff.

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 enter required information accurately and promptly in the computer system.
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 necessary data, reviewing the Compliance System, communicating information to patients or guarantors, and obtaining necessary signatures.
Protect the facility’s financial integrity by collecting patient liability, establishing payment arrangements, discussing payment options, and screening for eligibility.
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 patients’ families; complete thorough and accurate documentation.
Ensure safe care for patients, staff, and visitors and adhere to Memorial Hermann policies, procedures, and standards, including requirements related to time management, supply management, productivity, and quality of service.
Support professional growth and development by meeting mandatory and continuing education and skills competency requirements.
Support department-based goals and serve as a preceptor, mentor, and resource to less experienced staff.
Create compassionate and personalized experiences for every member of the community and model Memorial Hermann’s service standards.
Perform other duties as assigned.