Physician Practice Patient Access Rep II - Primary Care

Memorial Hermann Health System•Sugar Land, TX

About The Position

The Physician Practice Patient Access Rep II - Primary Care schedules patient appointments, ensures medical necessity compliance, verifies insurance eligibility and benefits, and posts payments. The role obtains and accurately enters patient demographic, insurance, and financial information; explains required forms and obtains signatures; collects patient liability and discusses payment arrangements and options; and monitors and resolves patient account issues. The representative communicates professionally with patients, families, physicians, clinical and ancillary departments, office staff, and insurance companies, and completes thorough and accurate documentation. The position also supports safe and efficient care, follows Memorial Hermann policies and standards, participates in professional development, and serves as a preceptor, mentor, and resource to less experienced staff. The schedule is Monday through Friday, 8 a.m. to 5 p.m.

Requirements

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

Responsibilities

Schedule patient appointments and enter required information accurately and promptly.
Obtain demographic, insurance, and financial information from patients or guarantors and enter it into the computer system accurately.
Explain required forms and obtain necessary signatures.
Ensure medical necessity compliance by collecting required data, reviewing the Compliance System, communicating information, and obtaining necessary 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 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 professionally with physicians, ancillary departments, nursing units, physicians’ office staff, insurance companies, patients, and families; complete thorough and accurate documentation.
Promote safe care and comply with Memorial Hermann policies, procedures, and standards, including time management, supply management, and service productivity.
Meet mandatory and continuing education and skills competency requirements; support department goals and serve as a preceptor, mentor, and resource to less experienced staff.
Provide compassionate, personalized, safe, and efficient experiences to patients and colleagues in keeping with Memorial Hermann’s service standards.
Perform other duties as assigned.