Patient Access Rep II

Memorial Hermann Health System•Katy, TX

23h

About The Position

The Patient Access Rep II schedules patient appointments and supports accurate, efficient patient access. The role gathers and enters demographic, insurance, and financial information; explains and obtains required forms and signatures; verifies insurance eligibility and benefits; and ensures medical necessity compliance and timely completion of notifications and authorizations. The position also collects patient liability, discusses payment options, establishes payment arrangements, posts payments, generates receipts, and monitors and resolves patient account issues. The representative communicates professionally with physicians, ancillary departments, nursing units, physician office staff, insurance companies, patients, and their families, and completes thorough and accurate documentation. The role follows Memorial Hermann policies and service standards, helps ensure safe care, supports department goals and quality of service, and contributes to a compassionate, personalized experience for patients and colleagues. It also supports less experienced staff as a preceptor, mentor, and resource, and performs other duties as assigned.

Requirements

Two years of experience in a hospital or customer service setting.
Ability to multitask.
Proficient typing/keyboarding skills.
High school diploma or GED preferred.

Responsibilities

Schedule patient appointments and accurately and promptly enter required information 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 required 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 families; complete thorough and accurate documentation.
Ensure safe care for patients, staff, and visitors and adhere to Memorial Hermann policies, procedures, and standards, including budgetary specifications for time management, supply management, productivity, and service quality.
Meet mandatory and continuing education and skills competency requirements, support department-based goals, and serve as a preceptor, mentor, and resource to less experienced staff.
Model Memorial Hermann service standards by providing safe, caring, personalized, and efficient experiences to patients and colleagues.
Perform other duties as assigned.