Patient Access Representative - ER

Patient Access Representative - ER

Townsen Memorial Hospital-Humble is looking for a Patient Access Representative - ER to join our team! The Patient Access Representative ER serves as a liaison between the patient and payers to collect and receive patient information to generate an account for services provided. The Patient Access Representative will be responsible for facilitating patient tracking and billing by obtaining pertinent patient demographic information and collecting financial obligations for care provided by the facility.

Essential Functions:

• Verifies insurance benefits for all plans associated with patients, 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.
• Collect, verify, and accurately enter patient demographic information to ensure seamless revenue cycle processing.
• Adhere to facility protocols when modifying clinically sensitive data, such as patient name, date of birth, or gender, after admission.
• Monitor and clear all work queues daily, ensuring all account elements are secured for billing.
• Secure patient accounts to optimize hospital reimbursement while maintaining a customer-focused approach.
• Deliver exceptional customer service throughout the registration process.
• Enhance collection efficiency and accuracy by securing payments at the time of service.
• Proactively contact patients or guarantors before their service date to provide estimated payment details, documenting all successful and unsuccessful contact attempts.
• Verify copay information on insurance cards against account records for accuracy.
• Collect patient payments at the time of service, accurately documenting the amount and payment method.
• Ensure complete and precise documentation for each visit to maintain compliance with hospital and government regulations.
• Track and maintain personal productivity statistics to support departmental quality improvement efforts.
• Welcome patients upon arrival and provide relevant information.
• Assist patients in completing necessary forms and documentation.
• Verify the accuracy and completeness of patient forms and input demographic details into the EMR system.
• Answer and manage incoming calls, addressing inquiries and directing calls as needed.
• Forward calls and messages to the appropriate medical staff.
• Keep patients' families informed about their loved one's status.
• Prepare and label patient charts accurately.
• Manage incoming and outgoing mail for the office.
• Maintain a clean, organized, and welcoming reception area, including the arrangement of magazines.
• Follow workplace safety guidelines, promptly reporting accidents and addressing minor hazards.
• Communicate with peers and management regarding identified workplace hazards.
• Uphold patient privacy and confidentiality in compliance with HIPAA regulations and company policies.
• Adhere to company standards of business conduct.
• Perform other related tasks as needed.

Knowledge, Skills, and Abilities:

• Knowledge of administrative and clerical procedures, including word processing, file management, and general office operations.
• Strong computer skills, including expertise in Microsoft Office Suite (Outlook, Excel, and Word).
• Solid attention to detail, ensuring accuracy and thoroughness in all tasks.
• Ability to maintain self-control by remaining composed, managing emotions effectively, and handling challenging situations with professionalism.
• Ability to maintain high stress tolerance by accepting constructive feedback and managing high-pressure situations calmly and efficiently.
• Ability to adapt to workplace changes with flexibility, embracing new challenges and varying work responsibilities.
• Ability to work independently with minimal supervision, demonstrating self-motivation and accountability.
• Demonstrate strong organizational and task-oriented skills by establishing and maintaining efficient systems to optimize workflow and ensure smooth, timely patient flow.
• Exhibit polished and professional communication skills, ensuring clear, courteous patient interactions and exceptional phone etiquette.
• Provide outstanding customer service by understanding and addressing patient needs while building positive relationships.

Education and Experience:

• High School Diploma or GED
• One (1) year of experience as an admission representative performing all aspects of the registration process
• Basic Life Support (BLS) certified or must be obtained within thirty (30) days of hire.

Benefits:

• 401(k) with employer contribution
• Medical Insurance
• Dental Insurance
• Vision Insurance
• Short and Long-Term Disability Insurance
• Employee Assistance Program
• PTO + Holidays