Patient Access Specialist: Caring Registration & Billing

Texas Children's Hospital; Houston (TX); On-site; USD 32,000 - 42,000; Full time

Job summary

Texas Children’s Hospital in Houston seeks a Patient Access Representative to ensure timely, accurate patient registration and to serve as liaison among patients, families, payers and hospital departments. The role supports revenue cycle through precise data collection and upfront financial counseling.

You will verify demographic and insurance information, determine coverage, provide patient liability estimates, pre-register patients in advance, and refer non-resource cases to financial

Qualifications

• H.S. Diploma required.
• 6 months experience as an admissions representative/counselor performing all aspects of the registration process preferred.
• Associate or bachelor’s degree may be substituted for the experience.

Responsibilities

• Obtains, verifies, and enters complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle.
• Thoroughly searches the patient accounting system for an existing medical record on each visit. Uses appropriate search techniques to ensure that no duplicate medical records are created in the master patient index.
• Accurately enters complete demographic information into the system. Verified information should include correct spelling of patient name, date of birth, gender, address, phone number, guarantor data, etc.
• Verifies insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into EPIC. Enters patient estimates in estimating software if required.
• Obtains insurance referrals, as required by individual insurance plans, documenting referral numbers in the appropriate fields for accurate billing. Documents whether authorization is require and involves Authorization Specialist when needed for clinical authorizations.
• Provides estimates of patient liability to patient/guarantor prior to visit as part of financially securing the account. Involves financial counseling department for self pay accounts requiring assistance with funding.
• To provide the highest possible customer service, patients are pre-registered 2-10 working days in advance of appointment/admission.
• Registers unscheduled patients as soon as notified, obtaining insurance benefits and referrals/authorizations prior to providing services or prior to discharge.
• Obtains clinical and financial authorization as required by contract for services.
• For patients who are admitted as inpatient from outpatient areas: verifies inpatient benefits, notifies bed control, and begins the pre-certification process

Education

H.S. Diploma

Associate or bachelor’s degree

Job description

Texas Children’s Hospital in Houston seeks a Patient Access Representative to ensure timely, accurate patient registration and to serve as liaison among patients, families, payers and hospital departments. The role supports revenue cycle through precise data collection and upfront financial counseling.

You will verify demographic and insurance information, determine coverage, provide patient liability estimates, pre-register patients in advance, and refer non-resource cases to financial