Physician Practice Patient Access Rep II – Urology Clinic

Memorial Hermann Health System•Clear Lake, MN

About The Position

This position is responsible for scheduling patient appointments, ensuring medical necessity compliance, verifying eligibility, and posting payments. The role gathers and accurately enters patient demographic, insurance, and financial information; explains required forms and obtains signatures; and supports payment collection and arrangements. It also verifies insurance benefits, completes notifications and authorizations, resolves assigned patient account issues, and communicates professionally with patients, families, physicians, staff, and insurance companies. The position promotes safe, compassionate, personalized, and efficient care and supports department and organizational goals.

Requirements

Two years of experience in a hospital or customer service setting.
Ability to multitask.
Proficient typing and keyboarding skills.

Nice To Haves

High school diploma or GED preferred.

Responsibilities

Schedule patient appointments and enter required information accurately and promptly in the computer system.
Obtain demographic, insurance, and financial information from patients or guarantors and enter it accurately.
Explain required forms to patients or guarantors and obtain necessary signatures.
Ensure medical necessity compliance by gathering 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.
Verify insurance eligibility and benefits and complete required notifications and authorizations within required timeframes.
Post payments in the computer system and generate appropriate patient receipts.
Monitor, review, and resolve patient account issues on assigned reports.
Communicate effectively and professionally with physicians, ancillary departments, nursing units, physicians’ office staff, insurance companies, patients, and families; complete thorough and accurate documentation.
Promote safe care and adhere to Memorial Hermann policies, procedures, and standards, including budgetary specifications, time management, supply management, and service productivity.
Maintain 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.
Model Memorial Hermann’s service standards by providing safe, caring, personalized, and efficient experiences to patients and colleagues.
Perform other duties as assigned.