Patient Access Representative

Texas Children's Hospital • Houston, TX

7d • Onsite

About The Position

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

Using a unique medical record number, the representative facilitates patient tracking and billing by obtaining and verifying complete demographic information, financially securing accounts, and collecting guarantors’ out-of-pocket responsibilities 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 be eligible for government resources or the hospital charity program and refers them to a financial counselor.

Requirements

• High school diploma or equivalent.
• Maintain compliance with EMTALA, The Joint Commission, and other applicable hospital and government regulations.
• Accurately obtain, verify, document, and enter patient demographic and guarantor information.

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 substitute for this 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, using appropriate techniques to avoid creating duplicate records in the master patient index.
• Enter and verify demographic information, 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-oriented service.
• Pursue collections at the time of service to improve collection-process efficiency and accuracy.
• Provide complete and accurate visit documentation to ensure compliance with hospital and government regulations.
• Support process improvements through data compilation, customer service, monitoring and evaluation of departmental roles, and proposals for improvement initiatives.
• Identify patients without resources who may qualify for government resources or the hospital charity program and refer them to a financial counselor.

What This Job Offers

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