Patient Access Representative II (Full-time)

Memorial Hermann Health System; United States; On-site; USD 36,000 - 48,000; Full time

Job summary

Memorial Hermann Health System is seeking an organized Patient Access role responsible for scheduling patient appointments, verifying medical necessity, eligibility, and posting payments. The position emphasizes accurate data entry, patient communication, and adherence to healthcare policies.

Responsibilities include data collection, explaining forms, obtaining signatures, and ensuring timely authorizations in a patient-centered environment within Memorial Hermann Health System.

Qualifications

• Education: High School Diploma or GED preferred.
• Licenses/Certifications: (None)
• Experience / Knowledge / Skills: Two (2) years of experience in a hospital or customer service setting; Ability to multi-task; Proficient typing/keyboarding skills.

Responsibilities

• Schedules patient appointments and enters information in the computer system accurately.
• Obtains demographic, insurance and financial information from patients or guarantors.
• Verifies insurance eligibility and benefits and ensures notifications and authorizations are completed in time.
• Posts payments in the computer system and generates patient receipts.
• Communicates professionally with physicians, departments, insurance companies and patients.

Skills

Multi-tasking

Typing / Keyboarding

Customer service

Education

High School Diploma or GED

Job description

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.

Job Summary

Position is responsible for scheduling patient appointments, ensuring medical necessity compliance, verifying eligibility, and posting payments

Job Description

Minimum Qualifications

• Education: High School Diploma or GED preferred
• Licenses/Certifications: (None)
• Experience / Knowledge / Skills: Two (2) years of experience in a hospital or customer service setting Ability to multi-task Proficient typing/keyboarding skills

Principal Accountabilities

• Schedules patient appointments and enters required information in the computer system in an accurate and timely manner.
• Obtains demographic, insurance and financial information from patient or guarantor.
• Enters information in computer system with a high degree of accuracy.
• Explain all required forms to the patient or guarantor and obtains the necessary signatures.
• Ensures medical necessity compliance by acquiring necessary data, reviewing compliance System, communicating information to patient or guarantor and obtaining necessary signatures.
• Protects the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility.
• Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required timeframes.
• Posts payments in the computer system and generates the appropriate patient receipts.
• Monitors, reviews and resolves patient account issues on assigned reports.
• Communicates in an effective and professional manner with Physicians, ancillary departments, nursing units, physicians’ office staff, insurance companies, as well as patients and their families ( all Patient Access customers).
• Completes thorough and accurate documentation.
• Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann's policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
• Promotes individual professional growth, development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
• Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences.
• Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
• Other duties as assigned.
• Together, we’re creating an environment where exceptional care can flourish.
• It starts with you.