Physician Practice Patient Access Representative III - Cypress GI & Urology

Memorial Hermann Health System

About The Position

The Physician Practice Patient Access Representative III is responsible for mentoring employees as a team leader and handling patient access activities, including scheduling appointments, ensuring medical necessity compliance, verifying insurance eligibility and benefits, and posting payments. The role also supports accurate account management, financial counseling, quality review, process improvement, and professional, compassionate service to patients, colleagues, and other customers. The position is with Cypress GI & Urology at Memorial Hermann. The stated schedule is Monday through Friday, 8 a.m. to 5 p.m.

Requirements

Three years of experience in a hospital or medical business office setting.
Ability to multitask.
Proficient typing and keyboarding skills.

Nice To Haves

High school diploma or GED preferred.
Supervisory and/or leadership experience preferred.

Responsibilities

Schedule patient appointments and accurately 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 and obtain necessary signatures.
Ensure medical necessity compliance by obtaining required data, reviewing the Compliance System, communicating information to patients or guarantors, and obtaining signatures.
Collect patient liability, establish payment arrangements, explain payment options, screen for eligibility, complete complex financial counseling, review and submit charity applications, and identify alternative reimbursement resources.
Verify insurance eligibility and benefits and ensure notifications and authorizations are completed within required timeframes.
Post payments in the computer system and generate patient receipts.
Monitor, review, and resolve patient account issues on assigned reports; perform account analysis and trending.
Complete quality reviews and monitor for process improvement opportunities.
Serve as a team leader by ensuring daily processes are completed, scheduling employees, answering employee questions, and assisting with orientation and training.
Communicate professionally with physicians, Care Management, ancillary departments, nursing units, physicians’ office staff, insurance companies, patients, and their families; complete thorough and accurate documentation.
Promote safe care and adhere to Memorial Hermann policies, procedures, and standards, including budgetary specifications for time management, supply management, productivity, and service quality.
Meet mandatory and continuing education and skills competency requirements; support department goals and serve as a preceptor, mentor, and resource to less experienced staff.
Create compassionate, personalized experiences and model Memorial Hermann’s service standards for safe, caring, personalized, and efficient service to patients and colleagues.
Perform other duties as assigned.