Patient Access Representative

Texas Children's Medical Center • Houston, TX

7d

About The Position

At Texas Children’s Hospital, the mission starts with its people and is guided by the HEART values of Humility, Excellence, Accountability, Respect, and Trust. The Patient Access Representative ensures timely and accurate patient registration and serves as a liaison among patients and families, payers, Healthcare Information Management (Medical Records), Patient Financial Services or Business Services, and other healthcare team members.

Using a unique medical record number, the representative supports patient tracking and billing by obtaining and verifying complete demographic information, financially securing accounts, and collecting patients’ out-of-pocket responsibility from guarantors to maximize hospital reimbursement. The role maintains compliance with EMTALA, The Joint Commission, and other applicable hospital and government regulations. It also identifies patients without resources who may qualify for government resources or the hospital’s charity program and refers them to a financial counselor.

Requirements

• High school diploma or equivalent.
• Preferred: Six months of experience as an admissions representative or counselor performing all aspects of the registration process.
• An associate or bachelor’s degree may be substituted for the experience.

Nice To Haves

• Six months of experience as an admissions representative or counselor performing all aspects of the registration process.
• An associate or bachelor’s degree may be substituted for the experience.

Responsibilities

• Obtain, verify, and enter complete and accurate demographic information on accounts to support revenue-cycle processing.
• Search the patient accounting system for an existing medical record for each visit and use appropriate techniques to avoid duplicate records in the master patient index.
• Enter accurate demographic details, including patient name, date of birth, gender, address, phone number, and guarantor data, following hospital protocols for names.
• Monitor and work assigned DARs and/or work queues daily, ensuring account elements are secured for billing.
• Financially secure patient accounts to maximize hospital reimbursement while providing customer service.
• Pursue collections at the time of service to improve the efficiency and accuracy of the collection process.
• Provide complete and accurate documentation for each visit to comply with hospital and government regulations.
• Support process improvement through data compilation, customer service, monitoring and evaluating departmental roles, and proposing improvement initiatives.
• Identify patients without resources who may be eligible for government resources or the hospital’s charity program and refer them to a financial counselor.

What This Job Offers

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