Physician Practice Patient Access Rep III - Neurosurgery - Memorial City

Memorial Hermann Health System

4d•Onsite

About The Position

This position is responsible for mentoring other employees as a team leader, scheduling patient appointments, ensuring medical necessity compliance, verifying eligibility, and posting payments. The role involves creating compassionate and personalized experiences for patients and colleagues, adhering to Memorial Hermann's service standards of safety, care, personalization, and efficiency. The employee will also promote professional growth and development by meeting continuing education requirements, supporting department goals, and serving as a preceptor or mentor.

Requirements

High school diploma or GED preferred
Three (3) years of experience in a hospital or medical business office setting
Ability to multi-task
Proficient typing/keyboarding skills

Nice To Haves

Supervisory and/or leadership experience preferred

Responsibilities

Schedules patient appointments and enters required information in the computer system accurately and timely.
Obtains demographic, insurance, and financial information from the patient or guarantor and enters it into the computer system with a high degree of accuracy.
Explains all required forms to the patient or guarantor and obtains necessary signatures.
Ensures medical necessity compliance by obtaining necessary data, reviewing the Compliance System, communicating information to the patient or guarantor, and obtaining necessary signatures.
Protects the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options, and screening for eligibility.
Completes complex financial counseling, including the review and submission of charity applications.
Identifies alternative resources for financial reimbursement.
Verifies insurance eligibility and benefits, ensuring all notifications and authorizations are completed within required timeframes.
Posts payments in the computer system and generates appropriate patient receipts.
Monitors, reviews, and resolves patient account issues on assigned reports.
Performs account analysis and trending.
Completes quality review and monitors for process improvement opportunities.
Functions as a team leader in the department by ensuring daily processes are complete, scheduling employees, providing answers to employee questions, and assisting in employee orientation and training.
Communicates effectively and professionally with Physicians, Care Management, ancillary departments, nursing units, physicians’ office staff, insurance companies, as well as patients and their families.
Completes thorough and accurate documentation.
Ensures safe care to patients, staff, and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity, and quality of service.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, and supports department-based goals.
Serves as preceptor, mentor, and resource to less experienced staff.
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences.
Models Memorial Hermann’s service standards by providing safe, caring, personalized, and efficient experiences to patients and colleagues.