Sr. Patient Access Representative - Pediatrics Multispecialty (Katy)

UTHealth Houston•Katy, TX

2d•Onsite

About The Position

UTHealth Houston is hiring a Sr. Patient Access Representative for its expanding Pediatrics Multispecialty clinic in Katy. The position supports patient access by scheduling appointments, ensuring medical necessity compliance, verifying eligibility and benefits, and accurately posting payments. It also serves as a team leadership role, mentoring and assisting other employees and helping ensure daily department processes are completed.

Requirements

High school diploma or equivalent.
Four years of experience in a hospital or medical business office setting.
Ability to multitask.
Proficient typing and keyboarding skills.
Must permanently reside and work in the State of Texas.
Ability to maintain the security or integrity of critical infrastructure, if the position requires access to it.

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.
Explain required forms and obtain necessary signatures.
Ensure medical necessity compliance by gathering required information, reviewing the Compliance System, communicating with patients or guarantors, and obtaining signatures.
Collect patient liability, establish payment arrangements, explain payment options, screen for eligibility, provide 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.
Act as a team leader by ensuring daily processes are complete, scheduling employees, answering employee questions, and assisting with orientation and training.
Communicate effectively and 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 budgetary specifications for time, supplies, productivity, and accuracy.
Maintain mandatory and continuing education and skills competency; 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.
Approximately 37–38 days per year of time off, including holidays, a preventative leave day, vacation, and sick time.
Additional vacation accrual with tenure.
Monthly longevity 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.