Patient Access Representative - Admissions Department

Texas Children's Hospital•The Woodlands, TX

21d

About The Position

We are searching for a Patient Access Representative with the Admissions Department at The Woodlands location — someone who works well in a fast-paced setting. In this position, you will ensure timely and accurate patient registration by serving as the liaison between patient/family, payers, providers, Healthcare Information Management (Medical Records), Patient Financial Services (PFS or Business Services) and other health care team members. While utilizing a unique medical record number, the Patient Access Representative will facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, financially securing, ensuring financial authorizations, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement. Think you’ve got what it takes? Texas Children’s Hospital The Woodlands is north Houston’s first true, free-standing pediatric hospital designed, equipped and staffed exclusively to provide care in more than 25 areas of specialty care for children and adolescents. Hospital facilities include 24 emergency center rooms, outpatient exam rooms, radiology rooms, operating rooms and acute care beds, as well as a pediatric intensive care unit (PICU). To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Requirements

Required H.S. Diploma or GED
6 months experience as an admissions representative/counselor performing all aspects of the registration process preferred

Responsibilities

Obtains, verifies, and enters complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle.
Thoroughly searches the patient accounting system for an existing medical record on each visit.
Accurately enters complete demographic information into the system.
Verified information should include correct spelling of patient name, date of birth, gender, address, phone number, guarantor data, etc.
Financially secures all patient accounts to maximize hospital reimbursement in a customer service oriented fashion.
Verifies insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into EPIC.
Obtains insurance referrals, as required by individual insurance plans, documenting referral numbers in the appropriate fields for accurate billing.
Registers unscheduled patients as soon as notified, obtaining insurance benefits and referrals/authorizations prior to providing services or prior to discharge.
For patients who are admitted as inpatient from outpatient areas: verifies inpatient benefits, notifies bed control, and begins the pre-certification process.
Compares copay information on insurance card to account notes for accuracy.
Collects patient liability at time of service, documenting amount and method collected.