Patient Access Representative III

CommonSpirit Health • Houston, TX

3d

About The Position

The Patient Access Representative manages administrative duties for the patient intake process in a clinic, following established guidelines. The role interacts with patients in person and by phone to facilitate check-in and check-out, collect data and payments, validate insurance, schedule appointments, and process referrals and authorizations. The representative helps ensure a seamless, high-quality patient intake experience through critical thinking, strong customer service, and knowledge of insurance, billing, and medical terminology.

The role obtains detailed patient insurance benefit information and discusses benefits and other financial matters with patients and family members during initial evaluation. It advises and assists patients and families with insurance, billing, and financial questions and options, and coordinates payer authorizations. The representative also monitors and updates information about insurance, physicians, authorizations, and managed care contracting.

Requirements

• High school diploma or GED.
• Two years of related experience.
• Strong customer service and critical-thinking skills.
• Knowledge of insurance, billing, and medical terminology.

Responsibilities

• Manage administrative duties for the clinic patient intake process in accordance with established guidelines.
• Interact with patients in person and by phone to facilitate check-in and check-out.
• Collect patient data and payments, validate insurance, schedule appointments, and process referrals and authorizations.
• Obtain detailed patient insurance benefit information.
• Discuss benefits and other financial issues with patients and family members during initial evaluation.
• Advise and assist patients and families with insurance, billing, and other financial questions and options.
• Coordinate necessary payer authorizations.
• Monitor and update information regarding insurance data, physicians, authorizations, and managed care contracting.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED