Patient Access Reprensentative II

Position is responsible for scheduling patient appointments, ensuring medical necessity compliance, verifying eligibility, and posting payments.

About Memorialhermann

• At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community.
• When we say every member of our community, that includes our employees.
• We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency.
• If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.

Responsibilities

• 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.
• 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.
• Communicates in an effective and professional manner with Physicians, 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.
• Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
• 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.
• Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences.
• Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
• Other duties as assigned.

Requirements

• High School Diploma or GED preferred Licenses/Certifications: (None ) Experience / Knowledge / Skills: Two (2) years of experience in a hospital or customer service setting Ability to multi-task Proficient typing/keyboarding skills Principal Accountabilities 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.