Patient Access Representative II/III (CHI)

UTHealth Houston; Houston (TX); Presencial; USD 40.000 - 52.000; Jornada completa

Descripción de la vacante

UTHealth Houston's Children's Heart Institute seeks a detail-oriented Patient Access Representative to register patients, verify insurance, ensure medical necessity compliance, post payments, and provide financial counseling. The role emphasizes accurate documentation and a positive patient experience.

The successful candidate will collaborate with care teams, explain forms, collect signatures, and support regulatory requirements.

Formación

• High School Diploma or equivalent required.
• 2 years of experience in a hospital or medical business office setting required.
• Experience with patient access processes is a plus.

Responsabilidades

• Obtain demographic, insurance and financial information from patients or guarantors.
• Verify insurance eligibility and benefits.
• Post payments in the computer system and generate patient receipts.
• Explain forms and obtain signatures; ensure regulatory compliance.
• Provide financial counseling and discuss payment options and charity applications.
• Coordinate with care teams and insurance companies to support patient access.

Conocimientos

Patient registration

Insurance verification

Financial counseling

Customer service

Documentation accuracy

Educación

High School Diploma

Herramientas

Electronic Medical Records

Descripción del empleo

What we do here changes the world.

UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in.

The Children's Heart Institute is seeking a detail-oriented and customer-focused Patient Access Representative to join our team.

This role is responsible for patient registration, insurance verification, medical necessity compliance, payment collection and posting, and financial counseling. The ideal candidate will provide exceptional customer service while ensuring accurate documentation, regulatory compliance, and a positive patient experience.

Once you join us you won't want to leave.

It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus:

• 100% paid medical premiums for our full-time employees
• Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year)
• The longer you stay, the more vacation you’ll accrue!
• Longevity Pay (Monthly payments after two years of service)
• Build your future with our awesome retirement/pension plan!

We take care of our employees!

As a world-renowned institution, our employees’ wellbeing is important to us. We offer work/life services such as...

• Free financial and legal counseling
• Free mental health counseling services
• Gym membership discounts and access to wellness programs
• Other employee discounts including entertainment, car rentals, cell phones, etc.
• Resources for child and elder care
• Plus many more!

Position Summary:

Position is responsible for ensuring medical necessity compliance, verifying eligibility, and posting payments.

Position Key Accountabilities:

• Obtains demographic, insurance and financial information from patient or guarantor.
• Enters information in computer system with a high degree of accuracy.
• May schedule patient appointments and enter required information in the computer system in an accurate and timely manner.
• Explains all required forms to the patient or guarantor and obtains the necessary signatures.
• Ensures medical necessity compliance by obtaining 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. Completes complex financial counseling including the review and submission of charity applications.
• Identifies alternative resources for financial reimbursement.
• 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.
• Communicates in an effective and professional manner with Physicians, Care Management, 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. Adheres to all university policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.
• Promotes individual professional growth and 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.
• Performs other duties as assigned.

Certification/Skills:

• None

Minimum Education:

High School Diploma or equivalent required

Minimum Experience:

2 years of experience in a hospital or medical business office setting required

Physical Requirements:

Exerts up to 50 pounds of force occasionally and/or up to 20 pounds frequently and/or up to 10 pounds constantly to move objects.

Security Sensitive:

This position is a security-sensitive position pursuant to Texas Education Code 51.215 and Texas Government Code 411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code 117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R.

• 791.4. Veteran Information:

Military occupations that relate to the initial selection criteria and registration or licensure requirements for this position may include but are not limited to: 68G, 70E, 0808, 4A0X1

For a complete list please visit www.uthealth-veterans.jobs.

Residency Requirement:

Employees must permanently reside and work in the State of Texas.