Patient Access Representative

Family Hospital Management Company; Cedar Park (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

Family Hospital Management Company in Cedar Park, TX is seeking a Patient Access/Registration Clerk to register patients, verify insurance, collect co-pays, and coordinate scheduling for outpatient services.

You will handle phone inquiries, maintain accurate records, audit documentation for medical necessity, ensure HIPAA compliance, and support clinical and administrative staff. High school diploma or GED required; acute care experience preferred.

Qualifications

• Excellent verbal and written communication skills.
• Strong problem-solving abilities and multitasking.
• Professional, courteous demeanor with patients and staff.
• Attention to detail and accuracy in documentation.

Responsibilities

• Register patients and complete registration including consents and authorizations.
• Collect financial paperwork and co-payments as required.
• Answer phones and coordinate patient communications with excellent customer service.
• Perform documentation audits for medical necessity and payor requirements.
• Schedule outpatient appointments and obtain prior authorizations as needed.
• Educate patients on pre- and post-exam requirements.
• Maintain and organize medical records and recall letters.
• Ensure HIPAA and Joint Commission compliance in daily tasks.

Skills

Communication

Problem solving

Professional demeanor

Attention to detail

Education

HS diploma / GED

Associate degree or higher

Tools

Microsoft Office

Data entry systems

Job description

Summary: Responsible for patient registration, admissions, and associated tasks which include information collection and validation, and requisitioning of orders and services. Insurance-related tasks include verification, collection of co-payments, and collection of associated paperwork. Performs administrative functions, scheduling, answering phones, and coordinating general requests.Essential Functions:A: Job SpecificRegisters patients and performs all registration-related functions, including explaining and obtaining all necessary patient consents and authorizations in a complete and timely manner, collecting financial paperwork (e.g., patient responsibility statement, etc.), and co-payment as requiredCommunicates effectively with patient to assist in access to care by answering telephone and other incoming communications in a timely and customer-service oriented manner; replying to inquiries, patient needs for information, and other parties clearly and in a timely manner; and, if information is not readily available, follows up with inquiries to responsible partyResolves all non-clinical questions within scope of knowledge while providing excellent customer service on the phone and/or in personPerforms on-going documentation audits for medical necessity, plan of care, and other related tasks or requirements by payors, including Medicare, using a variety of computer-based systemsSchedule appointments for outpatient clinics and procedures as neededObtain prior health insurance authorization for outpatient procedure and inpatient stay as needed.Educate each patient with pre-exam and if necessary, post-exam requirements within scopeOrganizes, generates and distributes patient reminders, results, and recall lettersEstablishes files, maintains information, and scans medical records in a timely and organized mannerEnsure the accuracy of medical record documentation by performing a quantitative and qualitative audit.Manages, directs and responds to incoming office correspondence as deemed appropriate, including mail, email, faxes, and telephone calls, and forward queries to the appropriate staffAttends and provides feedback for departmental staff meetingsRole Models the Principals of Family Hospital Management and Organizational Values.Ensures compliance with all applicable HIPAA, EMTLA and Joint commission requirements, providing required associated literature to patientsPerforms other duties as assigned on department and organizational level.B: Company SpecificAdheres to dress code, appearance is neat and clean and wears appropriate identification while on duty.Completes annual health, safety, and education requirements. Maintains professional growth and development.Maintains confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected.Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patient population served.Reports to work on time as scheduled; adheres to policies regarding notification of absence.Attends all mandatory in-services and staff meetings.Represents the organization in a positive and professional manner.Complies with all organizational policies regarding ethical business practices.Communicates the mission, ethics, and goals of the hospital, as well as the focus statement of the department.Maintains current licensure/certification for position, if applicable.Consistently demonstrates Guest Relation’s skills to patients, physicians, visitors, employees, and any other individuals with whom they may come in contact.Consistently follows departmental and hospital Health, Safety, Security, Hazardous Materials policies and procedures.HIPAA: Conduct job responsibilities in accordance with HIPAA privacy laws, follow hospital policy in provision of patient confidentiality. Able to identify patient confidentiality issues and reports to proper hospital personnel immediately.Compliance: Conducts job responsibilities in accordance with standards set forth in FHMC Code of Conduct, FHMC policy and procedures, applicable federal and state laws, and applicable standards.Employee must maintain a courteous and respectful attitude toward fellow employees, staff, contractors, vendors and the public at all times. Employee must avoid loud, profane, or unprofessional language at all times during the performance of duties. It is immediate grounds for termination if Employee engages in misconduct or is incompetent or negligent in the proper performance of duties or is disorderly, dishonest, intoxicated, or discourteous.Knowledge/Skills/Abilities:Excellent oral and written communication and interpersonal skills.Problem solving abilitiesProfessional and positive demenorProficiency in Microsoft Office and data entry systemsAccuracy and attention to detailQualifications:Education: High School diploma or GED required, associate degree or higher preferredLicenses/Certification: BLS certification required, CHAA or CHAM preferredExperience: 1- year experience in an acute patient care setting preferred