Senior - Spine Orthopedics

UTHealth Houston•Houston, TX

About The Position

UTHealth Houston is hiring a Patient Access Representative for Spine Orthopedics. The role supports patient access by ensuring medical necessity compliance, verifying insurance eligibility and benefits, and posting payments. It also helps protect the facility’s financial integrity through patient-liability collection, payment arrangements, financial counseling, and identification of alternative reimbursement resources. Employees must permanently reside and work in Texas. The representative gathers and accurately enters patient demographic, insurance, and financial information; may schedule appointments; explains forms and obtains signatures; completes required notifications and authorizations; and communicates professionally with patients, families, clinical and administrative teams, and insurance companies. The role includes accurate documentation, compliance with university policies and productivity standards, ongoing professional development, and serving as a resource to less experienced staff. Other duties may be assigned. This is a security-sensitive position. The position’s physical requirements include exerting up to 50 pounds of force occasionally, up to 20 pounds frequently, and/or up to 10 pounds constantly to move objects.

Requirements

High school diploma or equivalent.
At least 1 year of experience in a hospital or medical business office setting.
Must permanently reside and work in the State of Texas.
Ability to meet the stated physical requirements: exert up to 50 pounds occasionally, 20 pounds frequently, and/or 10 pounds constantly to move objects.
Must meet the security-sensitive position requirements described in the posting.

Responsibilities

Obtain demographic, insurance, and financial information from patients or guarantors.
Enter information into the computer system accurately.
Schedule patient appointments when needed and enter required information accurately and on time.
Explain required forms to patients or guarantors and obtain necessary signatures.
Ensure medical necessity compliance by obtaining necessary data, reviewing the Compliance System, communicating information, and obtaining signatures.
Collect patient liability, establish payment arrangements, discuss payment options, and screen for eligibility to protect the facility’s financial integrity.
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 appropriate patient receipts.
Communicate effectively and professionally with physicians, Care Management, ancillary departments, nursing units, physicians’ office staff, insurance companies, patients, and families.
Complete thorough and accurate documentation.
Follow university policies, procedures, and standards, including budgetary specifications, time and supply management, productivity, and accuracy requirements.
Support professional growth and development by meeting mandatory and continuing education and skills competency requirements.
Support department-based 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.
Paid holidays, a preventative leave day, vacation time, and sick time, totaling approximately 37–38 days per year.
Vacation accrual increases with tenure.
Monthly longevity payments 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.