Physician Practice Patient Access Rep II - Cardiology Sugarland

Memorial Hermann Health System•Sugar Land, TX

About The Position

The Physician Practice Patient Access Rep II is responsible for scheduling patient appointments, ensuring medical necessity compliance, verifying insurance eligibility and benefits, and posting payments. The role gathers and accurately enters patient demographic, insurance, and financial information; explains required forms and obtains signatures; and communicates payment options and account information to patients or guarantors. The representative works with patients, families, physicians, office staff, insurance companies, and other departments, while providing safe, compassionate, personalized, and efficient service. The position also monitors and resolves assigned patient account issues, maintains accurate documentation, supports organizational and department goals, and serves as a preceptor, mentor, and resource to less experienced staff.

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 accurately and promptly enter required information into the computer system.
Obtain demographic, insurance, and financial information from patients or guarantors and enter it accurately into the computer system.
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 required signatures.
Collect patient liability, establish payment arrangements, discuss payment options, and screen for eligibility to protect the facility’s financial integrity.
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.
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.
Provide safe care to patients, staff, and visitors and adhere to Memorial Hermann policies, procedures, and standards, including budgetary specifications, time management, supply management, and service productivity.
Meet mandatory and continuing education and skills competency requirements, support department-based goals, and serve as a preceptor, mentor, and resource to less experienced staff.
Create compassionate and personalized experiences and model Memorial Hermann’s service standards by providing safe, caring, personalized, and efficient experiences to patients and colleagues.
Perform other duties as assigned.