Patient Access Specialist - Admissions Department

Texas Children's Hospital • Conroe, TX

67d

About The Position

We are searching for a Patient Access Specialist with the Admissions Department at The Woodlands location - someone who works well in a fast-paced setting. In this position, you will ensure timely and accurate patient registration by serving as the liaison between patient/family, payers, providers, Healthcare Information Management (Medical Records), Patient Financial Services (PFS or Business Services) and other health care team members. While utilizing a unique medical record number, the Patient Access Specialist will facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, financially securing, ensuring financial authorizations, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement.

Requirements

• Required H.S. Diploma or GED
• 2 years Patient access registration or patient accounting experience

Responsibilities

• Obtains, verifies, and enters complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle.
• Thoroughly searches the patient accounting system for an existing medical record on each visit.
• Uses appropriate search techniques to ensure that no duplicate medical records are created in the master patient index.
• Accurately enters complete demographic information into the system.
• Verified information should include correct spelling of patient name, date of birth, gender, address, phone number, guarantor data, etc.
• Patient names should follow hospital protocol regarding middle names, suffixes, etc.
• Ensures assigned DARs and/or work queues are monitored and worked daily, ensuring that all elements of the accounts are secured for billing.
• Financially secures all patient accounts to maximize hospital reimbursement in a customer service-oriented fashion.
• Ensures financial authorization for service is obtained and to provide the authorizing entity with clinical information including diagnosis and treatment plan.
• Facilitates provider communication with payer representative and/or payer Medical Director.
• Provides complete and accurate documentation on each visit to ensure compliance with hospital and government regulations.
• As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards.

What This Job Offers

• Industry: Hospitals
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees