Physician Practice Patient Access Representative II - The Woodlands Cardiology

Memorial Hermann Health System•The Woodlands, TX

About The Position

The Physician Practice Patient Access Representative II is responsible for scheduling patient appointments, ensuring medical necessity compliance, verifying insurance eligibility and benefits, and posting payments. The position also gathers and accurately enters patient demographic, insurance, and financial information; explains required forms and obtains signatures; collects patient liability and discusses payment 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, while supporting safe, compassionate, personalized, and efficient care.

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 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 necessary signatures.
Protect the facility’s financial integrity by collecting patient liability, establishing payment arrangements, discussing payment options, and screening for eligibility.
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.
Support professional growth and development by meeting mandatory and continuing education and skills competency requirements, and support department goals.
Serve as a preceptor, mentor, and resource to less experienced staff.
Create compassionate and personalized experiences for members of the community and model Memorial Hermann’s service standards.
Perform other duties as assigned.