Acute Care - Katy

UTHealth Houston•Katy, TX

22h

About The Position

The Department of Acute Care Surgery is seeking a Patient Access Representative to join the Katy team. Training will take place in the Texas Medical Center until the Katy location opens, currently slated for November/December. The position is responsible for ensuring medical necessity compliance, verifying eligibility, and posting payments. Employees must permanently reside and work in Texas. The role gathers and accurately enters patient demographic, insurance, and financial information; may schedule appointments; explains and obtains required forms and signatures; and helps ensure medical necessity requirements are met. It protects the facility’s financial integrity through collections, payment arrangements, financial counseling, charity applications, and identification of alternative reimbursement resources. The representative verifies insurance benefits and eligibility, completes notifications and authorizations, posts payments, and generates receipts. The role also requires effective communication and accurate documentation, adherence to university policies and productivity standards, and participation in professional development. The employee may serve as a preceptor, mentor, and resource to less experienced staff and perform other assigned duties.

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 exert up to 50 pounds of force occasionally, up to 20 pounds frequently, and/or up to 10 pounds constantly to move objects.
Ability to meet the security-sensitive position requirements described in the posting.

Responsibilities

Obtain demographic, insurance, and financial information from patients or guarantors.
Accurately enter information into the computer system.
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 necessary data, reviewing the Compliance System, communicating information, and obtaining required 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 required 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.
Adhere to university policies, procedures, and standards, including time management, supply management, productivity, and accuracy requirements.
Meet mandatory and continuing education and skills competency requirements and support department-based goals.
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 (approximately 37–38 days per year).
Vacation accrual increases with length of service.
Longevity pay through monthly 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.