Patient Access Specialist - Admissions Department chez Texas Children's Hospital The Woodlands

We are searching for a Patient Access Specialist with the Admissions Department at The Woodlands location — someone who works well in a fast-paced setting. In this position, you will ensure timely and accurate patient registration by serving as the liaison between patient/family, payers, providers, Healthcare Information Management (Medical Records), Patient Financial Services (PFS or Business Services) and other health care team members. While utilizing a unique medical record number, the Patient Access Specialist will facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, financially securing, ensuring financial authorizations, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement.

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Job Duties & Responsibilities

• Obtains, verifies, and enters complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle.  
• Thoroughly searches the patient accounting system for an existing medical record on each visit.  
• Uses appropriate search techniques to ensure that no duplicate medical records are created in the master patient index.  
• Accurately enters complete demographic information into the system.  
• Verified information should include correct spelling of patient name, date of birth, gender, address, phone number, guarantor data, etc.  
• Patient names should follow hospital protocol regarding middle names, suffixes, etc. Ensures assigned DARs and/or work queues are monitored and worked daily, 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.  
• Ensures financial authorization for service is obtained and to provide the authorizing entity with clinical information including diagnosis and treatment plan.
• Facilitates provider communication with payer representative and/or payer Medical Director.  
• Provides complete and accurate documentation on each visit to ensure compliance with hospital and government regulations.
• As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards.

Skills & Requirements

• Required H.S. Diploma or GED
• 2 years Patient access registration or patient accounting experience 

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