Patient Access Representative Call Center

Memorial Hermann Houston , TX 77020

Posted 3 months ago

At Memorial Hermann, we're about creating exceptional experiences for both our patients and our employees. Our goal is to provide opportunities for our diverse employee population that develop and grow careers in a team-oriented environment focused on patient care.

Every employee, at every level, begins their journey at Memorial Hermann learning about the history of the organization and its established culture built on trust and integrity. Our employees drive this culture, and we want you to be a part of it.

Job Summary

Position is responsible for scheduling patient appointments, ensuring medical necessity compliance, verifying eligibility, and posting payments.

This position is located at our Memorial City location.

Hours: 8:00am-5:00pm

Schedule: Monday-Friday.

Preferred Qualifications:
Insurance Verification

Work Setting:

This position is back office so there won't be any face to face interaction with the customers.


Benefits start day one. Medical, Dental and Vision, and Paid Time Off (PTO). Retirement plan-403 B plan with Fidelity and we match you up to 6% at 100%. We also offer Tuition Reimbursement and Student Loan Repayment.

Career Ladder-Patient Access Rep I, Patient Access Rep II, Patient Access Rep III, Patient Business Coordinator, Manager, Director.Job Description

Minimum Qualifications:

Education: High school graduate.

Experience / Knowledge /

  • Two (2) years of experience in a hospital or customer service setting.

  • Ability to multi-task.

  • Proficient typing/keyboarding skills.

  • Demonstrates commitment to the Partners-in-Caring process by integrating our culture in all internal and external customer interactions; delivers on our brand promise of "we advance health" through innovation, accountability, empowerment, collaboration, compassion and results while ensuring one Memorial Hermann.

Principle 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.

  • 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.

  • Communicates in an effective and professional manner with Physicians, 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.

  • Other duties as assigned.

See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Patient Access Representative

Texas Children's Hospital

Posted 1 week ago

VIEW JOBS 12/4/2018 12:00:00 AM 2019-03-04T00:00 Job Summary We are searching for a Patient Access Representative — someone who works well in a fast-paced setting. In this position, you'll serve as a liaison between patient/family, payers, Healthcare Information Management, Patient Financial Services, and other health care team members. Think you've got what it takes? Responsibilities * Maintains compliance with EMTALA, JCAHO, and all other hospital and government regulations applicable to the Admissions settings * Identifies non-resource patients for possible eligibility for government resources and/or the hospital's charity program and refer these patients to a financial counselor * Obtains, verify, and enter complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle * Follows the MPI process when changing clinically sensitive data (patient name, date of birth, and gender) after a patient has been admitted * Ensures all work queues are monitored and cleared on a daily basis, ensuring that all elements of the accounts are secured for billing * Financially secures all patient accounts to maximize hospital reimbursement in a customer service-oriented fashion * Verifies insurance benefits for all plans associated with patient, confirming the correct payor, and plan is entered into the patient accounting system * Obtains insurance referrals and/or authorizations as required by individual insurance plans, documenting authorization/referral numbers in the appropriate fields for accurate billing * Maximizes the efficiency and accuracy of the collection process by pursuing collections at the time of service * Contacts patient/guarantor prior to date of service to inform them of estimated payment due at the time of service * Documents details of all successful and unsuccessful attempts at patient/guarantor contact * Compares copay information on insurance card to account notes for accuracy * Collects patient liability at time of service, documenting amount, and method collected * Provides complete and accurate documentation on each visit to ensure compliance with hospital and government regulations * Maintains accurate statistics on own productivity as part of departmental tracking and quality improvement Qualifications * High school diploma or GED * Six (6) months experience as an admission representative/counselor performing all aspects of the registration process * Associate's or bachelor's degree may be substituted for experience * Knowledge of patient access services and the overall effect on the revenue cycle * Thorough understanding of various insurance plans, payor networks, government resources, and medical terminology * Ability to demonstrate self-initiated work behaviors, problem solve, interact with a variety of people while always displaying professional courtesy, excellent interpersonal and communication skills, and attention to detail * Ability to use a networked computer that facilitates access to the hospital's patient accounting system and other query software for verification of insurance benefits * Previous experience with patient registration preferred Company Profile Texas Children's Pavilion for Women is a comprehensive obstetrics/gynecology facility and one of a select few hospitals nationwide that provides women, mothers and babies with a full continuum of high-quality, expert health care. Offering a full spectrum of maternal and fetal medicine services, including an array of fetal diagnostic procedures and highly specialized fetal surgeries, the Pavilion for Women is connected to Texas Children's Hospital via a two-story circular sky bridge to enhance patient care by providing physicians, staff and patient families with rapid access to other pediatric subspecialists. Three private OB/GYN practices, The Family Fertility Center, The Menopause Center and The Women's Place – Center for Reproductive Psychiatry are all housed here. Additionally, we also recently opened a community-based OB/GYN practice in Pearland. To join our community of 13,000 dedicated team members, visit for career opportunities. You can also learn more about our amazing culture at Texas Children's Hospital Houston TX

Patient Access Representative Call Center

Memorial Hermann