Patient Access Representative

Patient Access Representative

Townsen Memorial Hospital is hiring a full-time Patient Access Representative from 10 am - 6:00 pm at our new state of the art facility in West, Houston (77072)!

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.
• Ability to multitask simultaneously while maintaining quality and accuracy.
• 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

Townsen Memorial Hospital is an accredited network of facilities with an emphasis on emergency care, outpatient surgery, and diagnostics and imaging. Our core mission is to provide compassionate, evidence-based patient care to those we serve. At Townsen Memorial, we encompass diversity, dignity, and inclusiveness as a reflection of our core values. Townsen Memorial is committed to driving cutting edge healthcare to our patients, our communities and each other.