Patient Access & Insurance Navigator (PRN)

Team Member Services; Mansfield (TX); On-site; USD 24,000 - 38,000; Part time

Job summary

Texas Health Mansfield is seeking a PRN Front Desk Revenue Cycle Clerk to perform Medicare compliance reviews, estimate patient financial responsibility, and coordinate with insurance for pre-authorizations. You will register patients, collect information, and ensure accurate clinical and demographic data at the point of service.

The role requires strong customer service, knowledge of HIPAA, EMR systems, and bilingual English/Spanish abilities.

Qualifications

• Associate degree preferred; high school diploma required.
• 1+ year customer service preferred.
• 1+ year revenue cycle preferred.
• Bilingual English/Spanish preferred.

Responsibilities

• Performs Medicare compliance reviews and issues Advance Beneficiary Notices of Noncoverage as needed.
• Creates accurate estimates for patient financial responsibility and collects payments or establishes payment plans.
• Coordinates with utilization management staff for pre-authorization issues and ensures patients have necessary logistical information.
• Contacts insurance companies to verify eligibility and benefits, and obtains pre-authorizations within established timeframes.
• Registers patients for all services, ensuring accuracy and minimizing duplication of medical records.
• Collects critical demographic information from patients and confirms insurance details.
• Provides timely and continual coverage of assigned work areas during scheduled shifts, arranging relief coverage as needed.
• Manages communication between clinical, ancillary, and consumer access departments to enhance the patient experience.
• Consistently provides excellent customer service, documenting all patient and insurance representative conversations, including payer decisions and payment arrangements.
• Attends department meetings and promotes positive dialogue within the team.
• Provides coverage for PBX (Switchboard) as needed, including answering phones and transferring calls.
• Performs cashiering functions such as collections and cash reconciliation accurately.
• Other duties as assigned.

Skills

Mature judgement

MS Office

Office machines

Multitasking

Professional communication

HIPAA knowledge

Bilingual EN/ES

Customer service

EMR systems

Medical terminology

Insurance knowledge

Education

Associate

High School Grad

Job description

Texas Health Mansfield is seeking a PRN Front Desk Revenue Cycle Clerk to perform Medicare compliance reviews, estimate patient financial responsibility, and coordinate with insurance for pre-authorizations. You will register patients, collect information, and ensure accurate clinical and demographic data at the point of service.

The role requires strong customer service, knowledge of HIPAA, EMR systems, and bilingual English/Spanish abilities.