Patient Access Representative II - Bayshore Family Medicine

UTHealth Houston•Houston, TX

1d•Onsite

About The Position

UT Physicians – Bayshore Family Medicine, the clinical practice of McGovern Medical School at UTHealth Houston, is seeking a full-time Patient Access Representative II to support a multispecialty clinic focused on personalized patient care. The position is responsible for verifying eligibility, ensuring medical necessity compliance, and accurately posting payments. The representative obtains and enters patient demographic, insurance, and financial information; may schedule appointments; explains forms and obtains signatures; and reviews compliance requirements with patients or guarantors. The role also protects the facility’s financial integrity through collecting patient liability, arranging payments, discussing payment options, screening for eligibility, completing complex financial counseling and charity applications, and identifying alternative reimbursement resources. The representative verifies insurance benefits and eligibility, ensures required notifications and authorizations are completed on time, posts payments, and generates receipts. The role requires professional communication with patients and families, physicians, care management, ancillary departments, nursing units, physicians’ office staff, and insurance companies. The employee maintains accurate documentation, follows university policies and standards, supports professional development and department goals, and serves as a preceptor, mentor, and resource to less experienced staff. Other duties may be assigned. Employees must permanently reside and work in Texas. This is a security-sensitive position.

Requirements

High school diploma or equivalent.
At least 2 years 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 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, and obtaining signatures.
Collect patient liability, establish payment arrangements, discuss payment options, screen for eligibility, and 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 professionally and effectively with patients and families, physicians, care management, ancillary departments, nursing units, physicians’ office staff, and insurance companies.
Complete thorough and accurate documentation and adhere to university policies, procedures, and standards, including 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.
Increasing vacation accrual with tenure.
Monthly longevity payments 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.
Resources for child and elder care.