Senior Patient Access Representative - Cinco Ranch

UTHealth Houston Cinco Ranch Clinic is hiring a Senior Patient Access Representative to join their team of professionals in the Katy area. This is the only Sr. PAR position that acts as the referral coordinator.  Position processes all internal and external referrals, verifies insurance coverage, schedules appointments, and coordinates directly with the patient as well.  This position also backs up the front desk; patient registration, scheduling, payment collection, batch reconciliation. Referral processing and front desk experience preferred.  Spanish speaking preferred.  Great customer service.  Knowledgeable regarding insurance verification and processing.  Ability to work independently.  Pays great attention to detail.

Hours: Monday - Friday, 8a - 5p, T/TH till 6:30p and Saturday 8a - 12p are extended hours and shared with other staff

 

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.

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 mentoring other employees as a team leader, scheduling patient appointments, ensuring medical necessity compliance, verifying eligibility, and posting payments.

Position Key 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.

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:

Ability to multi-task.
Proficient typing/keyboarding skills.

Minimum Education:

High school diploma or equivalent.

Minimum Experience:

Four years of experience in a hospital or medical business office setting.

Physical Requirements:

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

Security Sensitive:

This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215

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.