Patient Access Representative II - ENT

UTHealth Houston•Houston, TX

About The Position

UTHealth Houston ENT (Facial Plastics) is hiring a Patient Access Representative II to work with its team in the Texas Medical Center. The position is responsible for ensuring medical necessity compliance, verifying eligibility, and posting payments. Employees must permanently reside and work in the State of Texas. This is a security-sensitive position under the cited Texas statutes.

Requirements

High school diploma or equivalent.
Two years of experience in a hospital or medical business office setting.
Permanently reside and work in the State of Texas.
Ability to meet the security-sensitive position requirements described in the posting.

Nice To Haves

Previous experience working in Facial Plastics, Plastic Surgery, or MediSpa clinics.
Bilingual in English and Spanish.

Responsibilities

Obtain demographic, insurance, and financial information from patients or guarantors.
Enter information into the computer system accurately.
Schedule patient appointments when needed and enter required information accurately and promptly.
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 signatures.
Protect the facility’s financial integrity by collecting patient liability, establishing payment arrangements, discussing payment options, screening for eligibility, and completing 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 appropriate patient receipts.
Communicate professionally and effectively with physicians, care management, ancillary departments, nursing units, physicians’ office staff, insurance companies, patients, and patients’ families.
Complete thorough and accurate documentation and adhere to university policies, procedures, and standards, including budget, time management, 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.
Approximately 37–38 days per year of time off, including holidays, a preventative leave day, vacation, and sick time.
Vacation accrual increases with length of service.
Monthly longevity payments after two years of service.
Retirement and 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.
Resources for child and elder care.