Physician Practice Patient Access Representative III - Front Desk

Memorial Hermann Medical Group; Town of Sugar Creek (WI); On-site; USD 36,000 - 56,000; Full time

Job summary

Memorial Hermann in Wisconsin is seeking a Patient Access Specialist who schedules patient appointments, verifies eligibility, and posts payments. The role runs Monday through Friday, 8am to 5pm, and emphasizes accurate data entry and compassionate service.

You will collect demographics and insurance information, explain forms, ensure medical necessity compliance, and support financial counseling, charity applications, and payment arrangements while collaborating with physicians, care teams, and

Qualifications

• High school diploma or GED preferred.
• Three (3) years of hospital or medical business office experience.
• Ability to multi-task and proficient typing.
• Supervisory/leadership experience preferred.

Responsibilities

• Schedules patient appointments and enters information in the computer system with accuracy.
• Verifies insurance eligibility and benefits; ensures notifications and authorizations are completed.
• Posts payments in the system and generates patient receipts.
• Completes complex financial counseling including review/submission of charity applications.
• Identifies alternative resources for financial reimbursement.
• Monitors and resolves patient account issues; conducts trend analysis.
• Leads daily department processes, trains staff and provides guidance to colleagues.
• Communicates professionally with physicians, care management, staff, insurance companies, patients and families.

Skills

Multitasking

Typing

Leadership experience

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. Monday - Friday, 8a - 5p.

Job Description

Minimum Qualifications Education: High school diploma or GED preferred Licenses/ Certifications: (None) Experience / Knowledge / Skills: Three (3) years of experience in a hospital or medical business office setting Ability to multi-task Proficient typing/keyboarding skills Supervisory and/or leadership experience preferred

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. 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. Monitors, reviews and resolves patient account issues on assigned reports. Performs account analysis and trending. Completes quality review and monitors for process improvement opportunities. Functions as a team leader in the department by ensuring daily processes are complete, scheduling employees, providing answers to employee questions and assisting in employee orientation and training. 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. Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service. 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. 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.