Patient Access Representative I, II - Bellaire Multispecialty Clinic

UTHealth Houston•Houston, TX

7d•Onsite

About The Position

The Patient Access Representative supports patients and helps ensure a smooth clinical experience at the UT Physicians Multispecialty Clinic in Bellaire. The role is responsible for medical necessity compliance, patient eligibility verification, and payment posting. The representative obtains and accurately enters patient demographic, insurance, and financial information; may schedule appointments; explains required forms and obtains signatures; and communicates medical necessity requirements. The role protects the facility’s financial integrity by collecting patient liability, establishing payment arrangements, discussing payment options, screening for eligibility, completing complex financial counseling and charity applications, and identifying alternative reimbursement resources. It also verifies insurance eligibility and benefits, ensures required notifications and authorizations are completed on time, posts payments, and generates receipts. The position communicates professionally with patients and families, physicians, care management, ancillary departments, nursing units, physicians’ office staff, and insurance companies. It maintains thorough and accurate documentation, follows university policies and procedures, supports professional development and department goals, and may serve as a preceptor, mentor, and resource to less experienced staff. Other duties may be assigned. Employees must permanently reside and work in Texas.

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.

Responsibilities

Obtain demographic, insurance, and financial information from patients or guarantors.
Enter information into the computer system accurately.
May schedule patient appointments and enter required information accurately and promptly.
Explain required forms to patients or guarantors and obtain necessary signatures.
Ensure medical necessity compliance by obtaining data, reviewing the Compliance System, communicating information, and obtaining necessary signatures.
Collect patient liability, establish payment arrangements, discuss payment options, and screen 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 patient receipts.
Communicate professionally with physicians, care management, ancillary departments, nursing units, physicians’ office staff, insurance companies, patients, and families.
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.
Paid holidays, a preventative leave day, vacation, and sick time; approximately 37–38 days of time off per year.
Additional vacation accrual 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.