Senior - Katy Orthopedics

UTHealth Houston•Katy, TX

3d•Onsite

About The Position

UTHealth Houston is hiring a Patient Access Representative for Katy Orthopedics. The position is responsible for ensuring medical necessity compliance, verifying eligibility, and posting payments. It gathers and enters patient demographic, insurance, and financial information; may schedule appointments; explains required forms and obtains signatures; and supports patient financial counseling, payment arrangements, charity applications, and identification of alternative reimbursement resources. The role verifies insurance eligibility and benefits, completes required notifications and authorizations, posts payments, and generates patient receipts. It communicates professionally with patients, families, physicians, care management, ancillary departments, nursing units, physicians’ office staff, and insurance companies. The representative maintains accurate documentation, follows university policies and standards, supports professional development and department goals, and may mentor less experienced staff. Employees must permanently reside and work in Texas. This is a security-sensitive position.

Requirements

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

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 promptly.
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 to patients or guarantors, and obtaining signatures.
Protect the facility’s financial integrity by collecting patient liability, establishing payment arrangements, discussing payment options, and screening for 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 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 requirements for time management, supply management, productivity, and accuracy of practice.
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.
Generous paid time off, including holidays, a preventative leave day, vacation, and sick time, totaling approximately 37–38 days per year.
Increased vacation accrual with length of service.
Longevity pay through monthly payments after two years of service.
Retirement and 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.