Patient Access Representative Ii - Family Medicine

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.
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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.

• Build your future with our awesome retirement/pension plan!
• Longevity Pay (Monthly payments after two years of service)
• The longer you stay, the more vacation you’ll accrue!
• 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)

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
• Other employee discounts including entertainment, car rentals, cell phones, etc.
• Free mental health counseling services
• Resources for child and elder care
• Plus many more!
• Gym membership discounts and access to wellness programs

Position Summary
Position is responsible for ensuring medical necessity compliance, verifying eligibility, and posting payments.
Position Key Accountabilities

• 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.
• Explains all required forms to the patient or guarantor and obtains the necessary signatures.
• Posts payments in the computer system and generates the appropriate patient receipts.
• 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.
• May schedule patient appointments and enter required information in the computer system in an accurate and timely manner.
• Performs other duties as assigned.
• Ensures medical necessity compliance by obtaining necessary data, reviewing Compliance System, communicating information to patient or guarantor and obtaining necessary signatures.
• 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.
• Obtains demographic, insurance and financial information from patient or guarantor. Enters information in computer system with a high degree of accuracy.
• Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required timeframes.

Certification/Skills
Ability to multi-task.
Proficient typing/keyboarding skills.
Minimum Education
High school diploma or equivalent.
Minimum Experience
Two 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.