Patient Access Representative III

CHI; Houston (TX); On-site; USD 32,000 - 44,000; Full time

Job summary

Baylor St. Luke's Medical Center is seeking a Patient Access Representative to manage the patient intake process in our clinic. You will handle in-person and phone interactions, verify insurance, collect data and payments, schedule appointments, and process referrals and authorizations.

The role requires strong customer service, critical thinking, and knowledge of insurance, billing, and medical terminology to ensure a seamless intake experience for patients and families.

Qualifications

• High School Graduate or GED required.
• 2 years of related experience preferred.
• Knowledge of insurance, billing and medical terminology helpful.

Responsibilities

• Obtain detailed patient insurance benefit information.
• Discuss benefits and other financial issues with patients and/or family members during initial evaluation.
• Advise patients on insurance and billing issues and options; serve as a financial resource.
• Coordinate all necessary payer authorizations.
• Monitor and update information regarding insurance data, physicians, authorizations and managed care contracting.
• Assist patients and families with questions concerning insurance and other financial issues.

Skills

Critical thinking

Customer service

Insurance knowledge

Billing knowledge

Medical terminology

Education

High School Diploma or GED

Job description

Job Summary And Responsibilities

As a Patient Access Representative, you will manage administrative duties for the patient intake process in our clinic, adhering to established guidelines.

Every day you will interact with patients in person and by phone, facilitating check‑in/out, collecting data and payments, validating insurance, scheduling appointments, and processing referrals and authorizations.

To be successful, you will demonstrate critical thinking, strong customer service, and knowledge of insurance, billing, and medical terminology, ensuring a seamless, high‑quality patient intake experience.

• Obtains detailed patient insurance benefit information
• Discusses benefits and other financial issues with patients and/or family members during initial evaluation.
• Advises patients on insurance and billing issues and options. Serves as a resource for patients and their family members on financial matters.
• Coordinates all necessary payer authorizations
• Consistently monitors and updates information regarding insurance data, physicians, authorizations and managed care contracting.
• Assists patients and their families with questions concerning insurance and other financial issues.

Job Requirements

• High School Graduate or GED
• Two (2) years of related experience

Where You'll Work

Baylor St. Luke's Medical Center is an 1,045 bed facility located in the Texas medical center. A joint venture with Baylor College of Medicine, Baylor St. Luke's is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care, neuroscience, oncology, transplantation, and more. The hospital is home to the Dan L Duncan Comprehensive Cancer Center, a nationally-accredited and NCI-designated comprehensive cancer center. Our new McNair Campus is designed around the human experience—modeled on evidence‑based practices for the safety of patients, visitors, staff, and physicians. The 27.5-acre campus represents the future of healthcare through a transformative alliance focused on leading‑edge patient care, research, and education.

Pay Range

$22.51 - $31.79 /hour