Patient Access Representative

Texas Children's Hospital; Austin (TX); On-site; USD 21,000 - 30,000; Full time

Job summary

Texas Children’s Hospital in Austin seeks a Patient Access Representative to ensure timely and accurate patient registration and serve as a liaison between patients, payers, and hospital departments. You will verify demographics, secure payments, and aid in maximizing hospital reimbursement while upholding EMTALA and regulatory standards.

Responsibilities include collecting complete demographic data, searching for existing medical records, preventing duplicates, and maintaining compliant

Qualifications

• Required High School Diploma or equivalent
• 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. Uses appropriate search techniques to ensure that no duplicate medical records are created in the master patient index.
• Accurately enters complete demographic information into the system. Verified information should include correct spelling of patient name, date of birth, gender, address, phone number, guarantor data, etc.
• Ensure 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.
• Maximizes the efficiency and accuracy of the collection process by pursuing collections at the time of service.
• Provides complete and accurate documentation on each visit to ensure compliance with hospital and government regulations.
• 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.

Education

High School Diploma or equivalent

Associate or bachelor's degree may be substituted for the experience

Job description

Job Description

At Texas Children’s Hospital, our mission starts with our people. Guided by our HEART values—Humility, Excellence, Accountability, Respect, and Trust—we strive to create a workplace where teammates feel valued, supported, and empowered to do their best work every day. As a Patient Access Representative, you will ensure timely and accurate patient registration by serving as the liaison between patient/family, payers, Healthcare Information Management (Medical Records), Patient Financial Services (PFS or Business Services) and other health care team members. While utilizing a unique medical record number, the Patient Access Representative will facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, financially securing, and collecting out-of pocket responsibility from guarantors to maximize hospital reimbursement. Maintain compliance with EMTALA, The Joint Commission, and all other hospital and government regulations applicable to the admissions setting. 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.

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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. Uses appropriate search techniques to ensure that no duplicate medical records are created in the master patient index.
• Accurately enters complete demographic information into the system. Verified information should include correct spelling of patient name, date of birth, gender, address, phone number, guarantor data, etc. Patient names should follow hospital protocol regarding middle names, suffixes, etc.
• Ensure 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.
• Maximizes the efficiency and accuracy of the collection process by pursuing collections at the time of service.
• Provides complete and accurate documentation on each visit to ensure compliance with hospital and government regulations.
• 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.

Qualifications

• Required High School Diploma or equivalent
• Preferred 6 months Experience as an admissions representative/counselor performing all aspects of the registration process
• Associate or bachelor's degree may be substituted for the experience

About Us

Texas Children’s presence in Austin helps support a pediatric population of more than half a million and keeps kids healthy and happy from birth to adulthood. Texas Children’s first health care location in Austin, Texas Children’s Urgent Care West Gate, opened in March 2018, providing high quality pediatric-focused care after hours and on weekends. There are now more than 15 Texas Children’s Pediatric primary care practices in the greater Austin area providing full-service family care including routine childhood immunizations, well visits, and sick care. Our Specialty Care Center in Austin includes a multidisciplinary group of pediatric specialists committed to providing comprehensive care across a wide spectrum of services. Texas Children’s Hospital North Austin, is our new state-of-the-art facility providing world-class pediatric and maternal care to Austin families.

To join our community of more than 15,000 dedicated team members, visit texaschildrenspeople.org .

Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.