Patient Access Representative - Admissions Department na Texas Children's Hospital
Texas Children's Hospital · Conroe, Estados Unidos Da América · Onsite
- Junior
- Escritório em Conroe
We are searching for a Patient Access Representative 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 Representative 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.
Think you’ve got what it takes?
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.
- 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.
- 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 EPIC.
- Obtains insurance referrals, as required by individual insurance plans, documenting referral numbers in the appropriate fields for accurate billing.
- Registers unscheduled patients as soon as notified, obtaining insurance benefits and referrals/authorizations prior to providing services or prior to discharge.
- For patients who are admitted as inpatient from outpatient areas: verifies inpatient benefits, notifies bed control, and begins the pre-certification process.
- Compares copay information on insurance card to account notes for accuracy.
- Collects patient liability at time of service, documenting amount and method collected.
Skills & Requirements
- Required H.S. Diploma or GED
- 6 months experience as an admissions representative/counselor performing all aspects of the registration process preferred
