Patient Access Representative
Texas Children's Hospital
Houston, TX
Description
We are searching for a Patient Access Representative - someone who works well in a fast-paced setting. In this position, you will facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, and financially securing and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement. You will also identify non-resource patients for possible eligibility for government resources and/or the hospital's charity program and refer these patients to a financial counselor.
Think you’ve got what it takes?
Qualifications
High school diploma or GED required
6 months experience as an admissions representative/counselor performing all aspects of the registration process required
Associate’s or bachelor’s degree may be substituted for the required experience
"As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. “
Responsibilities
Obtains, verifies, and enters complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle
Ensures assigned DARs and/or work queues are monitored and worked on a daily basis, ensuring that all elements of the accounts are secured for billing
Financially secures all patient accounts to maximize hospital reimbursement in a customer service-oriented fashion
Obtains insurance referrals, as required by individual insurance plans, documenting referral numbers in the appropriate fields for accurate billing.
Contacts patient/guarantor prior to date of service to inform them of estimated payment due at the time of service. Documents details of all successful and unsuccessful attempts at patient/guarantor contact
Obtains signatures from patient/guarantor for release of information, general consent to treat, statement of financial responsibility, Medicare and Champus forms, and other required paperwork, as measured by account audits, medical record review and feedback from downstream departments
Documents in account notes all pertinent information required to successfully bill and collect on the claim
Provides continuous support of process improvements through compilation of data, excellent customer service, monitoring and evaluation of departmental roles, and proposals for process improvement initiatives