Patient Access & Registration Specialist

Texas Children's Hospital; Houston (TX); On-site; USD 25,000 - 30,000; Full time

Job summary

Texas Children’s Hospital is seeking a Patient Access Representative to ensure timely and accurate patient registration and to act as a liaison among patients, payers, and hospital departments. You will verify demographics, assist with financial counseling, and help maximize reimbursement while complying with EMTALA and Joint Commission standards.

Responsibilities include entering demographics, verifying insurance, obtaining referrals/authorizations, and pre-registering patients ahead of visits.

Qualifications

• H.S. Diploma required.
• 6 months experience as an admissions representative/counselor performing all aspects of the registration process preferred.
• Associate or bachelor’s degree may be substituted for the experience

Responsibilities

• Obtains, verifies, and enters complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle.
• Thoroughly searches the patient accounting system for an existing medical record on each visit.
• Accurately enters complete demographic information into the system.
• 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.
• Verifies insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into EPIC.
• Obtains insurance referrals, as required by individual insurance plans, documenting referral numbers in the appropriate fields for accurate billing.
• Provides estimates of patient liability to patient/guarantor prior to visit as part of financially securing the account.
• To provide the highest possible customer service, patients are pre-registered 2-10 working days in advance of appointment/admission.
• Registers unscheduled patients as soon as notified, obtaining insurance benefits and referrals/authorizations prior to providing services or prior to discharge.
• Obtains clinical and financial authorization as required by contract for services.
• For patients admitted as inpatient from outpatient areas: verifies inpatient benefits, notifies bed control, and begins the pre-certification process

Education

H.S. Diploma required

6 months experience as admissions representative/counselor

Associate or bachelor's degree substitution

Job description

Texas Children’s Hospital is seeking a Patient Access Representative to ensure timely and accurate patient registration and to act as a liaison among patients, payers, and hospital departments. You will verify demographics, assist with financial counseling, and help maximize reimbursement while complying with EMTALA and Joint Commission standards.

Responsibilities include entering demographics, verifying insurance, obtaining referrals/authorizations, and pre-registering patients ahead of visits.