Patient Access Representative II, Inbound Call Center
Memorial Hermann Health System
full-time
Posted on:
Location: 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- 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.
- 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
- Three (3) years of experience in a hospital or medical business office setting
- Ability to multi-task
- Proficient typing/keyboarding skills
- Supervisory and/or leadership experience preferred
- Ideal candidate has call center experience
- Education: High School Diploma or GED preferred