SR - Smith Tower Colorectal

UTHealth Houston•Houston, TX

6d•Onsite

About The Position

The Colorectal Surgery Department at UTHealth Houston is seeking a Patient Access Representative to join its team at Smith Tower in the Texas Medical Center. The role is responsible for ensuring medical necessity compliance, verifying patient eligibility, and posting payments. Customer service skills are essential; EPIC experience is preferred. The representative obtains and accurately enters patient demographic, insurance, and financial information; may schedule appointments; explains and obtains signatures on required forms; and helps protect the facility’s financial integrity through collections, payment arrangements, financial counseling, charity applications, and identification of alternative reimbursement resources. The role also verifies insurance eligibility and benefits, completes notifications and authorizations, posts payments, issues receipts, and maintains thorough documentation. The representative communicates professionally with patients and families, physicians, care management, ancillary departments, nursing units, physicians’ office staff, and insurance companies. The position requires adherence to university policies and standards, including time, supply, productivity, and accuracy expectations; ongoing professional development; and support for less experienced staff through mentoring and precepting. Other duties may be assigned. Employees must permanently reside and work in Texas. This is a security-sensitive position subject to the applicable Texas statutory requirements described in the posting.

Requirements

High school diploma or equivalent.
At least 1 year of experience in a hospital or medical business office setting.
Strong customer service skills.
Must permanently reside and work in the State of Texas.
Must meet the security-sensitive position requirements described in the posting.

Nice To Haves

EPIC experience.

Responsibilities

Obtain demographic, insurance, and financial information from patients or guarantors.
Enter information into the computer system accurately.
Schedule patient appointments as needed and enter required information accurately and promptly.
Explain required forms and obtain necessary patient or guarantor signatures.
Ensure medical necessity compliance by obtaining required information, reviewing the Compliance System, communicating with patients or guarantors, and obtaining necessary signatures.
Collect patient liability, establish payment arrangements, discuss payment options, and screen for financial assistance eligibility.
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 effectively and professionally with patients and families, physicians, care management, ancillary departments, nursing units, physicians’ office staff, and insurance companies.
Complete thorough and accurate documentation.
Adhere to university policies, procedures, and standards, including requirements for time management, supply management, productivity, and accuracy.
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.
Generous time off, including holidays, a preventative leave day, vacation, and sick time; approximately 37–38 days per year.
Vacation accrual increases with length of service.
Monthly longevity pay 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.