Patient Access Representative III

CommonSpirit Health • Houston, TX

6h • Onsite

About The Position

As a Patient Access Representative, you will manage administrative duties for the patient intake process in our clinic, adhering to established guidelines. Every day you will interact with patients in person and by phone, facilitating check-in/out, collecting data and payments, validating insurance, scheduling appointments, and processing referrals and authorizations. To be successful, you will demonstrate critical thinking, strong customer service, and knowledge of insurance, billing, and medical terminology, ensuring a seamless, high-quality patient intake experience.

Requirements

• High School Diploma/GED
• Two (2) years of related experience
• Extended knowledge of HMO’s, PPO’s, Commercial/Governmental payers and System/Entity specific hospital contracts with Third Party payers.
• Extended knowledge of HIPPA and EMTALA.

Nice To Haves

• Scheduling and Oncology experience
• Knowledge of Epic systems and use of decision trees.

Responsibilities

• Obtains detailed patient insurance benefit information
• Discusses benefits and other financial issues with patients and/or family members during initial evaluation.
• Advises patients on insurance and billing issues and options.
• Serves as a resource for patients and their family members on financial matters.
• Coordinates all necessary payer authorizations
• Consistently monitors and updates information regarding insurance data, physicians, authorizations and managed care contracting.
• Assists patients and their families with questions concerning insurance and other financial issues.

What This Job Offers

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