Patient Access Representative I - Robert Cizik Eye Clinic

UTHealth Houston•Houston, TX

About The Position

UTHealth Houston’s Department of Ophthalmology and Visual Science is hiring a full-time Patient Access Representative I for the Robert Cizik Eye Clinic. The role supports patient access to eye care by verifying insurance eligibility, ensuring medical necessity compliance, posting payments, and assisting with related patient access processes. The representative obtains and accurately enters patient demographic, insurance, and financial information; may schedule appointments; explains required forms and obtains signatures; and supports financial counseling, payment arrangements, and identification of reimbursement resources. The role also verifies insurance benefits, completes required notifications and authorizations, posts payments, generates receipts, and communicates professionally with patients, families, providers, departments, and insurance companies. The position requires a high school diploma or equivalent and at least one year of experience in a hospital or medical business office setting. Certification is not required. Employees must permanently reside and work in Texas. The position is security-sensitive.

Requirements

High school diploma or equivalent.
At least one year of experience in a hospital or medical business office setting.
Permanently reside and work in the State of Texas.
Ability to exert up to 50 pounds of force occasionally, up to 20 pounds frequently, and/or up to 10 pounds constantly to move objects.

Responsibilities

Obtain demographic, insurance, and financial information from patients or guarantors.
Enter information into the computer system accurately.
Schedule patient appointments as needed and enter required information accurately and promptly.
Explain required forms to patients or guarantors and obtain necessary signatures.
Ensure medical necessity compliance by gathering required information, reviewing the Compliance System, communicating with patients or guarantors, and obtaining signatures.
Protect the facility’s financial integrity by collecting patient liability, establishing payment arrangements, discussing payment options, and screening for eligibility.
Complete complex financial counseling, including reviewing and submitting charity applications.
Identify alternative resources for financial reimbursement.
Verify insurance eligibility and benefits, and ensure notifications and authorizations are completed within required timeframes.
Post payments in the computer system and generate patient receipts.
Communicate effectively and professionally with physicians, care management, ancillary departments, nursing units, physicians’ office staff, insurance companies, patients, and families.
Complete thorough and accurate documentation.
Follow university policies, procedures, and standards, including budgetary specifications, time and supply management, productivity, and accuracy requirements.
Meet mandatory and continuing education and skills competency requirements; support department goals and serve as a preceptor, mentor, and resource to less experienced staff.
Perform other duties as assigned.

Benefits

100% paid medical premiums for full-time employees.
Generous paid time off, including holidays, a preventative leave day, vacation, and sick time, totaling approximately 37–38 days per year.
Increased vacation accrual with longer service.
Longevity pay after two years of service.
Retirement/pension plan.
Free financial and legal counseling.
Free mental health counseling services.
Gym membership discounts and access to wellness programs.
Employee discounts, including entertainment, car rentals, and cell phones.
Child and elder care resources.