Patient Access Representative For Pediatric Surgery

Patient Access Representative For Pediatric Surgery

The University Of Texas Health Science Center At Houston (Uthealth)

Patient Access Representative For Pediatric Surgery

Detalles de la oferta

We are looking for a Patient Access Representative to work with our Pediatric Surgery Department. This position is responsible for ensuring medical necessity compliance, verifying eligibility, and posting payments. You will be working with insurance and making sure that co-pays are collected from patients. We need someone who is friendly, motivated, and educated in insurance and how it relates to managed care. Bilingual candidates are preferred.
This is a full time role that will be compensated hourly. It is eligible for full benefits including healthcare coverage and participation in the State of Texas retirement plan. You will report to an office in our Medical School Building which is in the heart of the Texas Medical Center. This facility is on the Metro bus and rail lines.
Position Key Accountabilities:Obtains demographic, insurance and financial information from patient or guarantor. Enters information in computer system with a high degree of accuracy.
May schedule patient appointments and enter required information in the computer system in an accurate and timely manner.
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.
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.

Certification/Skills:Ability to multi-task.
Proficient typing/keyboarding skills.Minimum Education:High school diploma or equivalent.Minimum Experience:Two years of experience in a hospital or medical business office setting.Physical Requirements:Exerts up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds constantly to move objects.Security Sensitive:This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215

Fuente: Jobsxl


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