Patient Access Representative - ER

Townsen Memorial Hospital Group; Humble (TX); On-site; USD 38,000 - 60,000; Full time

Benefits offered by this job

401(k)

Medical Insurance

Vision Insurance

Short/Long-Term Disability

Employee Assistance Program

PTO + Holidays

Job summary

Townsen Memorial Hospital-Humble is seeking a Patient Access Representative - ER to join our team. This role serves as a liaison between patients and payers to collect and generate accounts for services provided.

The position emphasizes accurate data entry, insurance verification, referrals/authorizations, and maintaining HIPAA privacy while delivering exceptional customer service at the ER registration desk.

Qualifications

• High School Diploma or GED is required.
• One year of experience as an admission representative is preferred.
• BLS certification must be obtained within 30 days of hire.

Responsibilities

• Verify insurance benefits and confirm correct payor/plan in the patient accounting system.
• Obtain insurance referrals/authorizations and document numbers in the system.
• Enter patient demographics accurately to support billing and revenue cycle.
• Maintain HIPAA-compliant patient privacy and professional conduct throughout the process.
• Assist patients at arrival, complete forms, and provide information to facilitate registration.

Skills

Microsoft Office

Customer service

Attention to detail

Communication skills

HIPAA compliance

Education

High School Diploma or GED

BLS certification

Tools

EMR system

Job description

Townsen Memorial Hospital-Humble is looking for Patient Access Representative - ER to join our team!

SUMMARY

The Patient Access Representative ER serves as a liaison between the patient and payers to collect and receive patient information to generate an account for services provided. The Patient Access Representative will be responsible for facilitating patient tracking and billing by obtaining pertinent patient demographic information and collecting financial obligations for care provided by the facility.

ESSENTIAL FUNCTIONS

• Verifies insurance benefits for all plans associated with patients, confirming the correct payor and plan is entered into the patient accounting system.
• Obtains insurance referrals and/or authorizations as required by individual insurance plans, documenting authorization/referral numbers in the appropriate fields for accurate billing.
• Collect, verify, and accurately enter patient demographic information to ensure seamless revenue cycle processing.
• Adhere to facility protocols when modifying clinically sensitive data, such as patient name, date of birth, or gender, after admission.
• Monitor and clear all work queues daily, ensuring all account elements are secured for billing.
• Secure patient accounts to optimize hospital reimbursement while maintaining a customer-focused approach.
• Deliver exceptional customer service throughout the registration process.
• Enhance collection efficiency and accuracy by securing payments at the time of service.
• Proactively contact patients or guarantors before their service date to provide estimated payment details, documenting all successful and unsuccessful contact attempts.
• Verify copay information on insurance cards against account records for accuracy.
• Collect patient payments at the time of service, accurately documenting the amount and payment method.
• Ensure complete and precise documentation for each visit to maintain compliance with hospital and government regulations
• Track and maintain personal productivity statistics to support departmental quality improvement efforts.
• Welcome patients upon arrival and provide relevant information.
• Assist patients in completing necessary forms and documentation.
• Verify the accuracy and completeness of patient forms and input demographic details into the EMR system.
• Answer and manage incoming calls, addressing inquiries and directing calls as needed.
• Forward calls and messages to the appropriate medical staff.
• Keep patients’ families informed about their loved one’s status.
• Prepare and label patient charts accurately.
• Manage incoming and outgoing mail for the office.
• Maintain a clean, organized, and welcoming reception area, including the arrangement of magazines.
• Follow workplace safety guidelines, promptly reporting accidents and addressing minor hazards.
• Communicate with peers and management regarding identified workplace hazards.
• Uphold patient privacy and confidentiality in compliance with HIPAA regulations and company policies.
• Adhere to company standards of business conduct.
• Perform other related tasks as needed.

KNOWLEDGE, SKILLS, AND ABILITIES

• Knowledge of administrative and clerical procedures, including word processing, file management, and general office operations.
• Strong computer skills, including expertise in Microsoft Office Suite (Outlook, Excel, and Word).
• Solid attention to detail, ensuring accuracy and thoroughness in all tasks.
• Ability to maintain self-control by remaining composed, managing emotions effectively, and handling challenging situations with professionalism.
• Ability to maintain high stress tolerance by accepting constructive feedback and managing high-pressure situations calmly and efficiently.
• Ability to adapt to workplace changes with flexibility, embracing new challenges and varying work responsibilities.
• Ability to work independently with minimal supervision, demonstrating self-motivation and accountability.
• Demonstrate strong organizational and task-oriented skills by establishing and maintaining efficient systems to optimize workflow and ensure smooth, timely patient flow. Ability to multitask simultaneously while maintaining quality and accuracy.
• Exhibit polished and professional communication skills, ensuring clear, courteous patient interactions and exceptional phone etiquette.
• Provide outstanding customer service by understanding and addressing patient needs while building positive relationships.

EDUCATION AND EXPERIENCE

• High School Diploma or GED
• One (1) year of experience as an admission representative performing all aspects of the registration process
• Basic Life Support (BLS) certified or must be obtained within thirty (30) days of hire.
• BENEFITS:
• 401(k) with employer contribution
• Medical Insurance
• Vision Insurance
• Short and Long-Term Disability Insurance
• Employee Assistance Program
• PTO + Holidays

Please visit our website for more information:

https://www.townsenmemorial.com

Townsen Memorial Hospital is an accredited network of facilities with an emphasis on emergency care, outpatient surgery, and diagnostics and imaging. Our core mission is to provide compassionate, evidence-based patient care to those we serve. At Townsen Memorial, we encompass diversity, dignity, and inclusiveness as a reflection of our core values. Townsen Memorial is committed to driving cutting edge healthcare to our patients, our communities and each other.

Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.

Employment for this position is contingent upon the successful completion of a background check and drug screening.