Senior Patient Access Representative - CV Surgery

UTHealth Houston•Katy, TX

1d•Onsite

About The Position

UTHealth Houston is seeking a Senior Patient Access Representative to support the Cardiovascular Surgery team at 23960 Katy Freeway, Katy, TX 77494. This patient-facing role is responsible for coordinating patient registration, scheduling appointments, verifying insurance, and ensuring a seamless experience for cardiac and vascular surgery patients. The ideal candidate is detail-oriented, customer-focused, and experienced in managing patient access processes within a fast-paced clinical environment.

Requirements

High school diploma or equivalent.
Four years of experience in a hospital or medical business office setting.
Ability to multi-task.
Proficient typing/keyboarding skills.

Responsibilities

Schedules patient appointments and enters required information in the computer system in an accurate and timely manner.
Obtains demographic, insurance and financial information from patient or guarantor. Enters information in computer system with a high degree of accuracy.
Explains all required forms to the patient or guarantor and obtains the necessary signatures.
Ensures medical necessity compliance by obtaining necessary data, reviewing Compliance System, communicating information to 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 and ensures all notifications and authorizations are completed within the required timeframes.
Posts payments in the computer system and generates the 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 in an effective and professional manner with Physicians, Care Management, ancillary departments, nursing units, physicians’ office staff, insurance companies, as well as patients and their families (all Patient Access customers). Completes thorough and accurate documentation.
Adheres to all university policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
Performs other duties as assigned.

Benefits

100% paid medical premiums for our full-time employees
Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year)
The longer you stay, the more vacation you’ll accrue!
Longevity Pay (Monthly payments after two years of service)
Retirement/pension plan
Free financial and legal counseling
Free mental health counseling services
Gym membership discounts and access to wellness programs
Other employee discounts including entertainment, car rentals, cell phones, etc.
Resources for child and elder care