Patient Access Representative II

Memorial Hermann Health System•Vicksburg, MS

About The Position

The Patient Access Representative II schedules patient appointments, ensures medical necessity compliance, verifies insurance eligibility and benefits, and posts payments. The role gathers and accurately enters demographic, insurance, and financial information; explains required forms and obtains signatures; and communicates payment options and account information to patients or guarantors. It also monitors and resolves account issues, documents interactions, and works professionally with patients, families, physicians, clinical departments, office staff, and insurance companies. The representative supports safe, compassionate, personalized, and efficient care while following Memorial Hermann policies and service standards, meeting continuing education and competency requirements, and supporting department and organizational goals.

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 on time.
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, 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 families; complete thorough and accurate documentation.
Promote safe care for patients, staff, and visitors and adhere to Memorial Hermann policies, procedures, and standards, including time management, supply management, productivity, and quality of service.
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’s service standards by providing safe, caring, personalized, and efficient experiences to patients and colleagues.
Perform other duties as assigned.