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Patient Access Center Representative- Katy
REFER A FRIEND Current Employees Apply BACK Location : HM Continuing Care Hospital - 701 S Fry Road Katy, Texas 77450 Job Ref : 53615 Talent Area : Administrative Job Shift : 1st - Day Job Type : Full-Time Posted Date : March 8, 2024
At Houston Methodist, the Patient Access Center Representative position is responsible for assuring that patients referred between employed and aligned physicians are scheduled to receive services in their assigned location and are financially cleared prior to their scheduled appointment through accurate and timely scheduling, registration, and verification of eligibility and benefits.
This position assists management with ongoing observations and notifications of opportunities while providing innovative suggestions for process improvement.
The Patient Access Center Representative position also assists management with auditing / quality review to ensure accurate and appropriate scheduling and registration.
Additional responsibilities for this position include providing excellent customer service when communicating with patients who visit our clinics and providing notification to patients, physicians and management of issues that may result in potential service delays or reimbursement denials.
Requirements :
PEOPLE ESSENTIAL FUNCTIONS
Demonstrates ability to use critical thinking skills and healthcare knowledge to manage through primary care and specialty care scheduling processes.
Utilizes independent judgement to accommodate special requests from internal and external customers as indicated.
Serves as the front door of the Physician Organization interacting with new and established patients providing them with information needed to schedule and register multiple services for the Physician Organization.
Utilizes computerized scheduling / registration systems, verification systems, and online applications while balancing departmental resources.
Obtains required data in order to support departmental and hospital clinical / financial needs.
Triages calls for the Patient Access Center as appropriate to other areas as received on a daily basis while working under the guidelines and scripts as set forth by management.
Provides patients with information needed to prepare for appointment per Center / Service protocol. Enrolls patients on the Patient Portal and provides PIN numbers, complying with HIPAA regulations.
Promotes a friendly and professional customer service environment.
SERVICE ESSENTIAL FUNCTIONS
Utilizes courteous and professional telephone techniques and interpersonal skills to establish and maintain rapport with patients, physicians / office personnel and various hospital personnel, while maintaining patient confidentiality.
Appropriately utilizes ACD / CISCO telephone system. Uses department scripting and appointment scheduling policy when scheduling appointments and ensures ICARE values are met while working within the scripting provided.
Assists with new referral from E-fax and emails along with specific doctors' offices calling directly to schedule emergency patients' same day or within 24 hours.
Provides empathetic patient care by focusing on maintaining friendly, and incredibly dynamic environment.
QUALITY / SAFETY ESSENTIAL FUNCTIONS
g. abandonment rate, productivity per hour, etc.).
Enrolls patients on the Patient Portal and provides PIN numbers, complying with HIPAA regulations.
FINANCE ESSENTIAL FUNCTIONS
Works directly with the revenue cycle team and other departments to ensure the correct information and registration is complete and accurate prior to the patient visiting the clinic.
Identifies areas of concern and improvement to better the team and the overall practice in collecting revenue from front end operations being faulty.
Obtains and enters accurate scheduling and registration data, including but not limited to patient demographics, insurance, guarantor, and clinical information on the information system in order to initiate financial clearance activities (benefit eligibility and verification, pre-certification notification and payment review).
Documents patient's accounts with information related to any potential issue(s) that could result in service delays or cancellations due to the lack of financial clearance.
GROWTH / INNOVATION ESSENTIAL FUNCTIONS
Answers calls in a timely manner. Works directly with physicians, office staff and patients to ensure best practices within department.
Works with manager to improve areas requiring concern as indicated and strives for excellence in the workplace.
This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business / job duties as assigned.
Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
Qualifications : EDUCATION
EDUCATION
High School diploma or equivalent education (examples include : GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)
WORK EXPERIENCE
LICENSES AND CERTIFICATIONS - REQUIRED
N / A
LICENSES AND CERTIFICATIONS - PREFERRED
KNOWLEDGE, SKILLS, AND ABILITIES
Last updated : 2024-04-24
Full Time
Ambulatory Healthcare Services
$41k-55k (estimate)
04/26/2024
06/21/2024
houstonmethodist.org
CYPRESS, TX
7,500 - 15,000
2010
GABRIELA NICOLA
$5B - $10B
Ambulatory Healthcare Services
The job skills required for Patient representative include Customer Service, Scheduling, Patient Care, HIPAA, Appointment Scheduling, Communicates Effectively, etc. Having related job skills and expertise will give you an advantage when applying to be a Patient representative. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Patient representative. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Patient representative positions, which can be used as a reference in future career path planning. As a Patient representative, it can be promoted into senior positions as an Operating Room Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Patient representative. You can explore the career advancement for a Patient representative below and select your interested title to get hiring information.