Senior Patient Access Representative - Pediatrics Hemophilia

UTHealth Houston•Houston, TX

10d•Onsite

About The Position

The Senior Patient Access Representative is the first point of contact for patients at a specialized pediatric and adult hemophilia clinic, supporting daily clinic operations and helping provide seamless, efficient care. The position handles patient access and financial processes, including appointment scheduling, registration information, medical necessity compliance, insurance eligibility, authorizations, payment posting, and patient account resolution. The role also serves as a team leader by mentoring and assisting employees, scheduling employees, answering questions, and helping with orientation and training. The position is onsite, Monday through Friday, 8:00 a.m. to 5:00 p.m. Employees must permanently reside and work in Texas.

Requirements

High school diploma or equivalent.
At least 4 years of experience in a hospital or medical business office setting.
Must permanently reside and work in the State of Texas.
Ability to exert up to 50 pounds of force occasionally, up to 20 pounds frequently, and/or up to 10 pounds constantly to move objects.
This is a security-sensitive position; the ability to maintain the security or integrity of critical infrastructure is a minimum qualification when applicable.

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.
Explain required forms and obtain necessary signatures.
Ensure medical necessity compliance by obtaining required data, reviewing the Compliance System, communicating information, and obtaining signatures.
Collect patient liability, establish payment arrangements, discuss payment options, and screen for eligibility.
Provide complex financial counseling, including reviewing and submitting charity applications.
Identify alternative resources for financial reimbursement.
Verify insurance eligibility and benefits and ensure notifications and authorizations are completed on time.
Post payments and generate appropriate patient receipts.
Monitor, review, and resolve patient account issues on assigned reports.
Perform account analysis and trending.
Complete quality reviews and monitor opportunities for process improvement.
Serve as a departmental team leader by ensuring daily processes are complete, 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 families.
Complete thorough and accurate documentation.
Follow university policies, procedures, and standards, including requirements for time management, supply management, productivity, and accuracy.
Meet mandatory and continuing education and skills competency requirements; support department goals and serve as a preceptor, mentor, and resource to less experienced staff.
Perform other duties as assigned.

Benefits

100% paid medical premiums for full-time employees.
Generous time off, including holidays, a preventative leave day, vacation, and sick time (approximately 37–38 days per year).
Increased vacation accrual with length of service.
Longevity pay through 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.
Employee discounts, including entertainment, car rentals, and cell phones.
Resources for child and elder care.