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Other
high school
Posted 6d ago
~40 hrs/week
Responsibilities
The Senior Patient Access Representative manages patient scheduling, insurance verification, and financial counseling while ensuring medical necessity compliance. They also serve as a team leader responsible for mentoring staff, overseeing daily operations, and performing quality reviews.
Requirements
Candidates must have a high school diploma or equivalent and at least 4 years of experience in a hospital or medical business office setting. The role requires the ability to lift up to 50 pounds and a permanent residency in the State of Texas.
Full job description
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:
Essential Functions
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:
None
Minimum Education:
High School Diploma or equivalent required
Minimum Experience:
4 years of experience in a hospital or medical business office setting required
Physical Requirements:
Exerts up to 50 pounds of force occasionally and/or up to 20 pounds frequently and/or up to 10 pounds constantly to move objects.
Security Sensitive:
This position is a security-sensitive position pursuant to Texas Education Code §51.215 and Texas Government Code §411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code §117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R. §791.4.
Residency Requirement:
Employees must permanently reside and work in the State of Texas.
The School of Biomedical Informatics is the first school in the country devoted exclusively to graduate programs in health and biomedical informatics, combining information science, engineering, computer science, medical science, and cognitive and social science in health care.
Offices: 7000 Fannin St., Suite 600, Houston, TX 77030, US
How many Healthcare jobs are open in Houston, TX right now?
There are currently 4,097 open healthcare positions in Houston, TX listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in Houston, TX?
Companies currently hiring include Texas Children's Hospital, McWilliams School of Biomedical Informatics at UTHealth Houston, Oscorp Industries Consulting, St. Luke's Health, UnitedHealth Group, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in Houston, TX?
Yes — 427 of the 4097 open healthcare positions offer remote or hybrid work (176 remote, 251 hybrid).
How do I apply for Healthcare jobs in Houston, TX?
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