Patient Access Representative III

CommonSpirit Health; Houston (TX); On-site; USD 35,000 - 52,000; Full time

Job summary

CommonSpirit Health, serving Baylor St. Luke’s Medical Center in Houston, is seeking a Patient Access Representative to manage the patient intake process.

You will interact with patients in person and by phone to facilitate check-in/out, collect data and payments, validate insurance, schedule appointments, and process referrals and authorizations. The ideal candidate will demonstrate critical thinking, excellent customer service, and knowledge of insurance, billing, and medical terminology to

Qualifications

• High School diploma or GED required.
• Two years of related experience required.

Responsibilities

• Obtains detailed patient insurance benefit information.
• Discusses benefits and 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.
• 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.

Skills

Insurance knowledge

Billing knowledge

Medical terminology

Customer service

Communication skills

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.