Patient Access Representative I, II or SR for Colorectal Call Center/Referrals
Patient access representative job at UTHealth
This role is located at 6500 West Loop South, Bellaire, 77401. There is no fee for parking! This is position is answering multiple clinics incoming calls and working referrals. What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in.
Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus:
* 100% paid medical premiums for our full-time employees
* Generous time off (holidays, preventative leave day, both vacation and sick time - all of which equates to around 37-38 days per year)
* The longer you stay, the more vacation you'll accrue!
* Longevity Pay (Monthly payments after two years of service)
* Build your future with our awesome retirement/pension plan!
We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as...
* Free financial and legal counseling
* Free mental health counseling services
* Gym membership discounts and access to wellness programs
* Other employee discounts including entertainment, car rentals, cell phones, etc.
* Resources for child and elder care
* Plus many more!
Position Summary:
Responsible for ensuring medical necessity compliance, verifying eligibility, and posting payments.
Position Key Accountabilities:
1. Obtains demographic, insurance and financial information from patient or guarantor. Enters information in computer system with a high degree of accuracy.
2. May schedule patient appointments and enter required information in the computer system in an accurate and timely manner.
3. Explains all required forms to the patient or guarantor and obtains the necessary signatures.
4. Ensures medical necessity compliance by obtaining necessary data, reviewing Compliance System, communicating information to patient or guarantor and obtaining necessary signatures.
5. Protects the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility. Completes complex financial counseling including the review and submission of charity applications. Identifies alternative resources for financial reimbursement.
6. Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required timeframes.
7. Posts payments in the computer system and generates the appropriate patient receipts.
8. Communicates in an effective and professional manner with Physicians, Care Management, ancillary departments, nursing units, physicians' office staff, insurance companies, as well as patients and their families (all Patient Access customers). Completes thorough and accurate documentation.
9. Adheres to all university policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.
10. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
11. Performs other duties as assigned.
Certification/Skills:
Ability to multi-task.
Proficient typing/keyboarding skills.
Minimum Education:
High School Diploma or equivalent
Minimum Experience:
One (1) year of experience in a hospital or medical business office setting.
Physical Requirements:
Exerts up to 50 pounds of force occasionally and/or up to 20 pounds frequently and/or up to 10 pounds constantly to move objects.
Security Sensitive:
This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215
Veteran Information:
Military occupations that relate to the initial selection criteria and registration or licensure requirements for this position may include but are not limited to: 68G, 70E, 0808, 4A0X1
For a complete list please visit ***************************
Residency Requirement:
Employees must permanently reside and work in the State of Texas.
Patient Access Representative II - Bayshore Multispecialty
Patient access representative job at UTHealth
UTHealth Houston Bayshore Multispecialty Clinic is hiring a Patient Access Representative II to join their team of professionals in southeast Houston. The ideal candidate will have experience working in an ambulatory clinic setting; Experience working with referrals to and from medical providers; Epic EHR; Cash Handling; Comfortable speaking with patients regarding healthcare needs; Bilingual; Ambulatory clinic front desk experience.
Location: 11476 Space Center Blvd., #100
Schedule: Monday - Friday, 8am - 5pm
Perks: No weekends; Free on-site parking; Set schedule; Opportunity to work in large, fast-paced multispecialty clinic.
What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in.
Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus:
* 100% paid medical premiums for our full-time employees
* Generous time off (holidays, preventative leave day, both vacation and sick time - all of which equates to around 37-38 days per year)
* The longer you stay, the more vacation you'll accrue!
* Longevity Pay (Monthly payments after two years of service)
* Build your future with our awesome retirement/pension plan!
We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as...
* Free financial and legal counseling
* Free mental health counseling services
* Gym membership discounts and access to wellness programs
* Other employee discounts including entertainment, car rentals, cell phones, etc.
* Resources for child and elder care
* Plus many more!
Position Summary:
Position is responsible for ensuring medical necessity compliance, verifying eligibility, and posting payments.
Position Key Accountabilities:
* Obtains demographic, insurance and financial information from patient or guarantor. Enters information in computer system with a high degree of accuracy.
* May schedule patient appointments and enter required information in the computer system in an accurate and timely manner.
* Explains all required forms to the patient or guarantor and obtains the necessary signatures.
* Ensures medical necessity compliance by obtaining necessary data, reviewing Compliance System, communicating information to patient or guarantor and obtaining necessary signatures.
* Protects the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility. Completes complex financial counseling including the review and submission of charity applications. Identifies alternative resources for financial reimbursement.
* Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required timeframes.
* Posts payments in the computer system and generates the appropriate patient receipts.
* Communicates in an effective and professional manner with Physicians, Care Management, ancillary departments, nursing units, physicians' office staff, insurance companies, as well as patients and their families (all Patient Access customers). Completes thorough and accurate documentation.
* Adheres to all university policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.
* Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
* Performs other duties as assigned.
Certification/Skills:
Ability to multi-task.
Proficient typing/keyboarding skills.
Minimum Education:
High school diploma or equivalent.
Minimum Experience:
Two years of experience in a hospital or medical business office setting.
Physical Requirements:
Exerts up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds constantly to move objects.
Security Sensitive:
This position is a security-sensitive position pursuant to Texas Education Code §51.215 and Texas Government Code §411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code §117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R. §791.4.
Veteran Information:
Military occupations that relate to the initial selection criteria and registration or licensure requirements for this position may include but are not limited to: 68G, 70E, 0808, 4A0X1
For a complete list please visit ***************************
Residency Requirement:
Employees must permanently reside and work in the State of Texas.
Sr Patient Services Specialist/ CCVH
Lubbock, TX jobs
This position is responsible for ensuring the smooth operation of the clinic patient flow and serving as the primary contact for patients. Responsible for scheduling appointments, preparing necessary paperwork before the patient visits, receiving patients, and maintaining records. In addition, this position is responsible for processing charges for clinic services, filing insurance claims, responding to requests for information from patients and insurance companies and maintaining related information for the department. Work is performed in usual clinic conditions and requires a high degree of direct contact with patients, staff, and insurance companies. Employees may have cash-handling responsibilities.
Greets patients professionally and courteously at the beginning and end of the visit.
Requests insurance information and updates as necessary.
Scans insurance and patient picture identification into the EMR.
Correct patient's demographic information as necessary.
Call patient to verify rescheduled appointments.
Request any additional payments and schedule the next follow-up appointment and or testing.
High school diploma or equivalent. Three (3) years of customer service, office, or related experience, with two (2) of those years in a healthcare or dental clinic setting preferred. Additional education may substitute for the experience requirement.
Sr Patient Services Specialist Combest WC LB
Lubbock, TX jobs
The primary objective of this position is to provide excellent customer service to the patients of the TTUHSC SON Larry Combest clinics to meet patient health care needs. Responsible for scheduling appointments, preparing necessary paperwork before the patient visits, receiving patients, and maintaining records. In addition, this position is responsible for processing charges for clinic services, filing insurance claims, responding to requests for information from patients and insurance companies and maintaining related information for the department. Work is performed in usual clinic conditions and requires a high degree of direct contact with patients, staff, and insurance companies. Employees may have cash-handling responsibilities.
The employee is is responsible for:
Complete insurance verifications using pre-visit Enterprise Task Management (ETM) system.
Employee in this position must have a clear knowledge base and understanding of how to handle sensitive information in order to be 100% HIPAA compliant.
Adhere to the institutional and departmental policies and procedures for best practices.
Enters relevant patient data into EHR.
Assist with opening and distributing mail.
Assist with handling incoming checks and credit cards in preparation for deposits.
Scan payments and deposit batches into the secured identified SON server for the Combest.
Receive and process medical record requests.
Assist supervisor in reconciling monthly batch reports.
High school diploma or equivalent. Three (3) years of customer service, office, or related experience, with two (2) of those years in a healthcare or dental clinic setting preferred. Additional education may substitute for the experience requirement.
Sr Patient Services Specialist
Lubbock, TX jobs
This position is responsible for ensuring the smooth operation of the clinic patient flow and serving as the primary contact for patients. Responsible for scheduling appointments, preparing necessary paperwork before the patient visits, receiving patients, and maintaining records. In addition, this position is responsible for processing charges for clinic services, filing insurance claims, responding to requests for information from patients and insurance companies and maintaining related information for the department. Work is performed in usual clinic conditions and requires a high degree of direct contact with patients, staff, and insurance companies. Employees may have cash-handling responsibilities.
Receives all incoming calls for the clinic.
Prepares schedule of daily appointments for distribution as necessary, and notifies clinic staff of any changes.
Requests necessary charts from medical records.
Receives patients, makes appropriate notations on charts and fee sheets.
Keeps daily count of patients seen for weekly and monthly reports.
Contacts patients who have missed appointments.
Coordinates referral appointments to other clinics.
Checks billing information; making corrections as necessary.
Takes information from patient or pharmacist concerning prescription refills, lab reports, etc.
Coordinating information and requests with physician.
Processes clinic charge sheets and logs fee sheets.
Receipts payments for clinic services.
Assists patients with applications and forms and with questions on their accounts.
Maintains account activity data for daily reports for the business office.
Files insurance claims for patients who request this service.
Assists patients with problems with insurance companies and filing procedures.
Follows up on claims submitted to insurance companies.
Notes denial of insurance claim and reason on patient accounts.
Sends itemized statements to patients, employers or insurance companies as requested.
Pay Statement
Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as the institutional pay plan. For additional information, please reference the institutional pay plan website at ********************************
EEO Statement
All qualified applicants will be considered for employment without regard to sex, race, color, national origin, religion, age, disability, protected veteran status, or genetic information.
Required Qualifications
High school diploma or equivalent. Three (3) years of customer service, office, or related experience, with two (2) of those years in a healthcare or dental clinic setting preferred. Additional education may substitute for the experience requirement.
Jeanne Clery Act
The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. To view this report, visit the TTUHSC Clery Act website at ****************************************************
Introduction
Nationally recognized as a
Great College to Work For
, TTUHSC provides much more than just a job! Enjoy excellent benefits, including paid leave, retirement plans, wellness programs, health insurance and so much more. Ready to start building a rewarding career in a positive environment where you can develop and thrive? Join us as we change the future of health care.
About TTUHSC
Texas Tech University Health Sciences Center is enriching the lives of others by educating students, providing excellent patient care, and advancing knowledge through innovative research. TTUHSC graduates more health care professionals than any other health care institution in the state, conferring 24.2% of all degrees and certificates awarded from health-related institutions in Texas. By providing comprehensive clinical services to more than 10 million individuals across 121 counties, TTUHSC is dedicated to advancing the health of people throughout Texas and beyond. This is where world-class education meets compassionate patient care - and we believe that our people are the reason for our institution's lasting success and bright future.
Being part of the TTUHSC team means being part of an innovative and supportive community that empowers each individual to do their best work. Through our values-based culture, TTUHSC is committed to cultivating an exceptional workplace community with a positive culture that puts people first.
Benefits
TTUHSC is committed to creating an environment where our team members can do their best work, with programs and benefits to support head-to-toe well-being. Explore just a few of the advantages of being a TTUHSC team member:
Health Plans + Supplemental Coverage Options - Individual health insurance provided at no cost for full-time team members
Paid Time Off - Including holidays, vacation, sick leave and more
Retirement Plans
Wellness Programs
Certified Mother-Friendly Workplace
Additionally, TTUHSC invests in the success of our team members by providing opportunities for personal and professional growth, including lifelong learning programs, recognition programs, and health and wellness initiatives. Team members also enjoy a variety of other perks, such as special membership rates at local gyms and golf courses, access to state-of-the-art software and facilities, and discounts on travel, technology, entertainment and more.
Patient Services Specialist-Family Medicine
Lubbock, TX jobs
This position is responsible for ensuring the smooth operation of the clinic patient flow and serving as the primary contact for patients. Responsible for scheduling appointments, preparing necessary paperwork before the patient visits, receiving patients, and maintaining records. In addition, this position is responsible for processing charges for clinic services, filing insurance claims, responding to requests for information from patients and insurance companies and maintaining related information for the department. Employees may have cash-handling responsibilities.The Texas Tech Physicians Family Medicine Clinic is committed to providing high quality medical care for individuals of all ages. We are dedicated to providing an excellent training environment for Family Medicine Physicians of today and the future. Our clinic is a fast-paced, team-oriented environment where the patient always comes first.
The Patient Services Specialists are responsible for handling patient phone calls; collecting insurance information and verifying eligibility; and scheduling and arriving patients for appointments. The Patient Services Specialist will provide compassionate and enthusiastic service to our patients.A High School diploma or GED. 1-year Customer Service, office, or related experience. Additional education may substitute for the experience requirement.
Patient Services Specialist
Odessa, TX jobs
This position is responsible for ensuring the smooth operation of the clinic patient flow and serving as the primary contact for patients. Responsible for scheduling appointments, preparing necessary paperwork before the patient visits, receiving patients, and maintaining records. In addition, this position is responsible for processing charges for clinic services, filing insurance claims, responding to requests for information from patients and insurance companies and maintaining related information for the department. Employees may have cash-handling responsibilities.
Insurance Verification
Verify active insurance coverage and benefits for scheduled and unscheduled patient appointments.
Confirm patient eligibility, policy details, co-pays, deductibles, and referral/authorization requirements.
Document verification details in the electronic health record (EHR) and scheduling systems accurately and promptly.
Identify and resolve discrepancies with payers and escalate complex cases to the financial counseling team as needed.
Maintain up-to-date knowledge of payer policies and institutional insurance protocols.
Insurance Verification
Verify active insurance coverage and benefits for scheduled and unscheduled patient appointments.
Confirm patient eligibility, policy details, co-pays, deductibles, and referral/authorization requirements.
Document verification details in the electronic health record (EHR) and scheduling systems accurately and promptly.
Identify and resolve discrepancies with payers and escalate complex cases to the financial counseling team as needed.
Maintain up-to-date knowledge of payer policies and institutional insurance protocols.
Call Handling & Scheduling
Answer inbound calls from patients, caregivers, and referring providers, ensuring professional and compassionate communication.
Schedule, reschedule, and cancel appointments in accordance with departmental protocols.
Provide basic information on clinic services, appointment preparation, and institutional policies.
Route calls and messages to appropriate clinical or administrative staff.
A High School diploma or GED. 1-year Customer Service, office, or related experience. Additional education may substitute for the experience requirement.
Patient Services Specialist
Abilene, TX jobs
This position is responsible for ensuring the smooth flow of operations in a correctional facility medical clinic. Employees serve as primary contacts for patients and are responsible for preparing necessary paperwork before patient visits, receiving patients, and maintaining records. In addition, this position may be responsible for coordinating other clinic services, responding to requests for patient information, and maintaining related information for the department. Employees in this classification receive general supervision. Most work is performed according to established procedures; problems of an unusual nature are referred to a supervisor. Work is performed in a medical clinic setting in a correctional facility and may require a high degree of contact with patients, facility staff, and other partners.
Schedules patients for appointments through the electronic medical record (EMR) system when needed and enters sick call requests (SCR) into EMR.
Checks access to care through EMR.
Patient Throughput Management
Ensures protected health information (PHI) is scanned into EMR.
Assist when needed in processing patients through EMR.
Schedules and completes paperwork for offender Record Reviews.
Effectively participates in the overall goals of the Managed Care team.
Copies records for patient liaison, attorney general, and others who are authorized to receive and/or review PHI.
Support the goal of the unit by attending meetings.
Acts as courier to facilitate the EMR operation.
Performs all other health information tasks as necessary.
About Managed Care:
Since 1989, TTUHSC Managed Care has served as a healthcare delivery service, providing high quality, low cost healthcare to patients within the Texas Department of Criminal Justice system. We provide medical, mental health, and dental services to patients in 22 facilities throughout West Texas. Managed Care emphasizes our values-based culture in all we do. You can learn more about TTUHSC Managed Care by visiting our website HERE.One (1) year customer service, office, or related experience required. Additional education may substitute for the experience requirement.
Patient Services Specialist
Midland, TX jobs
This position is responsible for ensuring the smooth operation of the clinic patient flow and serving as the primary contact for patients. Responsible for scheduling appointments, preparing necessary paperwork before the patient visits, receiving patients, and maintaining records. In addition, this position is responsible for processing charges for clinic services, filing insurance claims, responding to requests for information from patients and insurance companies and maintaining related information for the department. Employees may have cash-handling responsibilities.
Greet and assist pediatric patients and families with questions and provide support.
Answer incoming calls, schedule appointments, document messages, and respond to inquiries professionally and promptly.
Register patients, check patient in/out, verify and update demographics and insurance to avoid delays in care and ensure billing accuracy.
Ensure all registration forms are complete and up to date.
Collect co-pays/payments and reconcile charges daily.
Maintain files and records confidentially.
Maintain organization and efficiency of the front office, including office supply inventory.
Responsible for keeping the reception and patient waiting areas clean and organized.
Collaborate with pediatric nurses, providers, and team members to support clinic flow.
Participate in monthly improvement efforts.
Assist with cross-training assignments and additional duties as assigned.
A High School diploma or GED
1-year Customer Service, office, or related experience. Additional education may substitute for the experience requirement.
Patient Services Specialist
Amarillo, TX jobs
This position is responsible for ensuring the smooth operation of the clinic patient flow and serving as the primary contact for patients. Responsible for scheduling appointments, preparing necessary paperwork before the patient visits, receiving patients, and maintaining records. In addition, this position is responsible for processing charges for clinic services, filing insurance claims, responding to requests for information from patients and insurance companies and maintaining related information for the department. Employees may have cash-handling responsibilities.
Able to multitask in a fast-paced environment.
Professional and positive communication skills with co-workers and patients.
Organized
A High School diploma or GED. 1-year Customer Service, office, or related experience. Additional education may substitute for the experience requirement.
Sr Patient Services Specialist
Amarillo, TX jobs
This position is responsible for ensuring the smooth operation of the clinic patient flow and serving as the primary contact for patients. Responsible for scheduling appointments, preparing necessary paperwork before the patient visits, receiving patients, and maintaining records. In addition, this position is responsible for processing charges for clinic services, filing insurance claims, responding to requests for information from patients and insurance companies and maintaining related information for the department. Work is performed in usual clinic conditions and requires a high degree of direct contact with patients, staff, and insurance companies. Employees may have cash-handling responsibilities.This position is in Canyon, TX.
Greet patients warmly and sincerely as they arrive at the clinic or call in via phone.
Act as the patient's guide and advocate through the administrative details of their clinic visits.
Identify and update patient information by navigating multiple computer systems and inputting accurate data.
Receive all incoming calls for the clinic and distribute information accordingly.
Calculate and collect payment for clinic services.
Ensure patient benefits have been verified and input accurately upon check-in.
Schedule patient appointments.
Assist with appointment reminder calls and missed appointment service recovery.
Coordinate clinic schedule information with providers and staff.
Maintain a professional customer service atmosphere for patients, providers, and staff.
High school diploma or equivalent. Three (3) years of customer service, office, or related experience, with two (2) of those years in a healthcare or dental clinic setting preferred. Additional education may substitute for the experience requirement.
Patient Services Specialist
Amarillo, TX jobs
This position is responsible for ensuring the smooth operation of the clinic patient flow and serving as the primary contact for patients. Responsible for scheduling appointments, preparing necessary paperwork before the patient visits, receiving patients, and maintaining records. In addition, this position is responsible for processing charges for clinic services, filing insurance claims, responding to requests for information from patients and insurance companies and maintaining related information for the department. Employees may have cash-handling responsibilities.
Greet and assist pediatric patients and families with questions and provide support.
Answer incoming calls, schedule appointments, document messages, and respond to inquiries professionally and promptly.
Register patients, check patient in/out, verify and update demographics and insurance to avoid delays in care and ensure billing accuracy.
Ensure all registration forms are complete and up to date.
Maintain files and records confidentially.
Maintain organization and efficiency of the front office, including office supply inventory.
Schedule provider appointments
A High School diploma or GED. 1-year Customer Service, office, or related experience. Additional education may substitute for the experience requirement.
Patient Services Specialist
Amarillo, TX jobs
This position is responsible for ensuring the smooth operation of the clinic patient flow and serving as the primary contact for patients. Responsible for scheduling appointments, preparing necessary paperwork before the patient visits, receiving patients, and maintaining records. In addition, this position is responsible for processing charges for clinic services, filing insurance claims, responding to requests for information from patients and insurance companies and maintaining related information for the department. Employees may have cash-handling responsibilities.
Must have excellent customer service skills, be friendly and have a high interest in caring for people..
Patient Arrival.
Verify Insurance.
Computer skills necessary to the job: typing, entering patient information in electronic medical records.
Answer phones.
Schedule provider appointments.
Work independently and as a team member.
A High School diploma or GED. 1-year Customer Service, office, or related experience. Additional education may substitute for the experience requirement.
Patient Access Representative II - Rheumatology
Patient access representative job at UTHealth
Join UTHealth's Department of Internal Medicine as a Patient Access Representative in Houston, TX! In this full-time role, you will play a key part in supporting our Internal Medicine clinic with a focus on Rheumatology. As the PAR, you will manage daily work queues, process referrals, and handle authorizations to ensure timely and accurate coordination of patient care. Ideal candidates bring experience with referral authorizations, proficiency in Epic, and bilingual communication skills.
Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus:
* 100% paid medical premiums for our full-time employees
* Generous time off (holidays, preventative leave day, both vacation and sick time - all of which equates to around 37-38 days per year)
* The longer you stay, the more vacation you'll accrue!
* Longevity Pay (Monthly payments after two years of service)
* Build your future with our awesome retirement/pension plan!
We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as...
* Free financial and legal counseling
* Free mental health counseling services
* Gym membership discounts and access to wellness programs
* Other employee discounts including entertainment, car rentals, cell phones, etc.
* Resources for child and elder care
* Plus many more!
Position Summary:
Position is responsible for ensuring medical necessity compliance, verifying eligibility, and posting payments.
Position Key Accountabilities:
* Obtains demographic, insurance and financial information from patient or guarantor. Enters information in computer system with a high degree of accuracy.
* May schedule patient appointments and enter required information in the computer system in an accurate and timely manner.
* Explains all required forms to the patient or guarantor and obtains the necessary signatures.
* Ensures medical necessity compliance by obtaining necessary data, reviewing Compliance System, communicating information to patient or guarantor and obtaining necessary signatures.
* Protects the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility. Completes complex financial counseling including the review and submission of charity applications. Identifies alternative resources for financial reimbursement.
* Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required timeframes.
* Posts payments in the computer system and generates the appropriate patient receipts.
* Communicates in an effective and professional manner with Physicians, Care Management, ancillary departments, nursing units, physicians' office staff, insurance companies, as well as patients and their families (all Patient Access customers). Completes thorough and accurate documentation.
* Adheres to all university policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.
* Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
* Performs other duties as assigned.
Certification/Skills:
* Ability to multi-task.
* Proficient typing/keyboarding skills.
Minimum Education:
* High school diploma or equivalent.
Minimum Experience:
* Two years of experience in a hospital or medical business office setting.
Physical Requirements:
* Exerts up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds constantly to move objects.
Security Sensitive:
* This position is a security-sensitive position pursuant to Texas Education Code §51.215 and Texas Government Code §411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code §117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R. §791.4.
Veteran Information:
* Military occupations that relate to the initial selection criteria and registration or licensure requirements for this position may include but are not limited to: 68G, 70E, 0808, 4A0X1
* For a complete list please visit ***************************
Residency Requirement:
* Employees must permanently reside and work in the State of Texas.
Patient Access Representative I - School of Dentistry
Patient access representative job at UTHealth
What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in. UTHealth Houston's School of Dentistry is hiring for a Patient Access Representative I to join their team of professionals in the Department of Diagnostic and Biomedical Sciences. The ideal candidate will have prior healthcare experience and excellent customer service skills. Patient billing experience is a plus!
Location: 7500 Cambridge Street, Houston, Texas 77030
Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus:
* 100% paid medical premiums for our full-time employees
* Generous time off (holidays, preventative leave day, both vacation and sick time - all of which equates to around 37-38 days per year)
* The longer you stay, the more vacation you'll accrue!
* Longevity Pay (Monthly payments after two years of service)
* Build your future with our awesome retirement/pension plan!
We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as...
* Free financial and legal counseling
* Free mental health counseling services
* Gym membership discounts and access to wellness programs
* Other employee discounts including entertainment, car rentals, cell phones, etc.
* Resources for child and elder care
* Plus many more!
Position Summary:
This role serves as a key liaison between the Oral Pathology Lab and stakeholders-including contributors, faculty, residents, and dental and dental hygiene students-to ensure the accurate and timely processing of incoming specimens. Responsibilities include answering phone calls, responding to email inquiries, and performing various administrative and operational tasks within the lab to support its daily functions.
Position Key Accountabilities:
1. Obtains demographic, insurance and financial information from patient or guarantor. Enters information in computer system with a high degree of accuracy.
2. May schedule patient appointments and enter required information in the computer system in an accurate and timely manner.
3. Explains all required forms to the patient or guarantor and obtains the necessary signatures.
4. Ensures medical necessity compliance by obtaining necessary data, reviewing Compliance System, communicating information to patient or guarantor and obtaining necessary signatures.
5. Protects the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility. Completes complex financial counseling including the review and submission of charity applications. Identifies alternative resources for financial reimbursement.
6. Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required timeframes.
7. Posts payments in the computer system and generates the appropriate patient receipts.
8. Communicates in an effective and professional manner with Physicians, Care Management, ancillary departments, nursing units, physicians' office staff, insurance companies, as well as patients and their families (all Patient Access customers). Completes thorough and accurate documentation.
9. Adheres to all university policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.
10. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
11. Performs other duties as assigned.
Certification/Skills:
Ability to multi-task.
Proficient typing/keyboarding skills.
Minimum Education:
High School Diploma or equivalent
Minimum Experience:
One (1) year of experience in a hospital or medical business office setting.
Physical Requirements:
Exerts up to 50 pounds of force occasionally and/or up to 20 pounds frequently and/or up to 10 pounds constantly to move objects.
Security Sensitive:
This position is a security-sensitive position pursuant to Texas Education Code §51.215 and Texas Government Code §411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code §117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R. §791.4.
Residency Requirement:
Employees must permanently reside and work in the State of Texas.
Patient Access Representative II/III (Pedi Surgery)
Patient access representative job at UTHealth
What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in. Pediatrics or Surgery. Bilingual preferred. Multiple locations: Katy, TMC, Woodlands, Webster.
Monday - Friday (8am-5pm schedule)
Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus:
* 100% paid medical premiums for our full-time employees
* Generous time off (holidays, preventative leave day, both vacation and sick time - all of which equates to around 37-38 days per year)
* The longer you stay, the more vacation you'll accrue!
* Longevity Pay (Monthly payments after two years of service)
* Build your future with our awesome retirement/pension plan!
We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as...
* Free financial and legal counseling
* Free mental health counseling services
* Gym membership discounts and access to wellness programs
* Other employee discounts including entertainment, car rentals, cell phones, etc.
* Resources for child and elder care
* Plus many more!
Position Summary:
Position is responsible for ensuring medical necessity compliance, verifying eligibility, and posting payments.
Position Key Accountabilities:
* Obtains demographic, insurance and financial information from patient or guarantor. Enters information in computer system with a high degree of accuracy.
* May schedule patient appointments and enter required information in the computer system in an accurate and timely manner.
* Explains all required forms to the patient or guarantor and obtains the necessary signatures.
* Ensures medical necessity compliance by obtaining necessary data, reviewing Compliance System, communicating information to patient or guarantor and obtaining necessary signatures.
* Protects the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility. Completes complex financial counseling including the review and submission of charity applications. Identifies alternative resources for financial reimbursement.
* Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required timeframes.
* Posts payments in the computer system and generates the appropriate patient receipts.
* Communicates in an effective and professional manner with Physicians, Care Management, ancillary departments, nursing units, physicians' office staff, insurance companies, as well as patients and their families (all Patient Access customers). Completes thorough and accurate documentation.
* Adheres to all university policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.
* Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
* Performs other duties as assigned.
Certification/Skills:
Ability to multi-task.
Proficient typing/keyboarding skills.
Minimum Education:
High school diploma or equivalent.
Minimum Experience:
Two years of experience in a hospital or medical business office setting.
Physical Requirements:
Exerts up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds constantly to move objects.
Security Sensitive:
This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215
Veteran Information:
Military occupations that relate to the initial selection criteria and registration or licensure requirements for this position may include but are not limited to: 68G, 70E, 0808, 4A0X1
For a complete list please visit ***************************
Residency Requirement:
Employees must permanently reside and work in the State of Texas.
Senior Patient Access Representative - Internal Medicine
Patient access representative job at UTHealth
Join UTHealth's Department of Internal Medicine as a Senior Patient Access Representative in Houston, TX! In this full-time role, you will play a key part in supporting our Internal Medicine department. As the Sr. PAR, you will manage daily work queues, process referrals, and handle authorizations to ensure timely and accurate coordination of patient care. Ideal candidates bring experience with referral authorizations, proficiency in Epic, and bilingual communication skills.
Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus:
* 100% paid medical premiums for our full-time employees
* Generous time off (holidays, preventative leave day, both vacation and sick time - all of which equates to around 37-38 days per year)
* The longer you stay, the more vacation you'll accrue!
* Longevity Pay (Monthly payments after two years of service)
* Build your future with our awesome retirement/pension plan!
We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as...
* Free financial and legal counseling
* Free mental health counseling services
* Gym membership discounts and access to wellness programs
* Other employee discounts including entertainment, car rentals, cell phones, etc.
* Resources for child and elder care
* Plus many more!
Position Summary:
Position is responsible for mentoring other employees as a team leader, scheduling patient appointments, ensuring medical necessity compliance, verifying eligibility, and posting payments.
Position Key Accountabilities:
* Schedules patient appointments and enters required information in the computer system in an accurate and timely manner.
* Obtains demographic, insurance and financial information from patient or guarantor. Enters information in computer system with a high degree of accuracy.
* Explains all required forms to the patient or guarantor and obtains the necessary signatures.
* Ensures medical necessity compliance by obtaining necessary data, reviewing Compliance System, communicating information to patient or guarantor and obtaining necessary signatures.
* Protects the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility. Completes complex financial counseling including the review and submission of charity applications. Identifies alternative resources for financial reimbursement.
* Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required timeframes.
* Posts payments in the computer system and generates the appropriate patient receipts.
* Monitors, reviews and resolves patient account issues on assigned reports. Performs account analysis and trending.
* Completes quality review and monitors for process improvement opportunities.
* Functions as a team leader in the department by ensuring daily processes are complete, scheduling employees, providing answers to employee questions and assisting in employee orientation and training.
* Communicates in an effective and professional manner with Physicians, Care Management, ancillary departments, nursing units, physicians' office staff, insurance companies, as well as patients and their families (all Patient Access customers). Completes thorough and accurate documentation.
* Adheres to all university policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.
* Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
* Performs other duties as assigned.
Certification/Skills:
* Ability to multi-task.
* Proficient typing/keyboarding skills.
Minimum Education:
* High school diploma or equivalent.
Minimum Experience:
* Four years of experience in a hospital or medical business office setting.
Physical Requirements:
* Exerts up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds constantly to move objects.
Security Sensitive:
* This position is a security-sensitive position pursuant to Texas Education Code §51.215 and Texas Government Code §411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code §117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R. §791.4.
Veteran Information:
* Military occupations that relate to the initial selection criteria and registration or licensure requirements for this position may include but are not limited to: 68G, 70E, 0808, 4A0X1
* For a complete list please visit ***************************
Residency Requirement:
* Employees must permanently reside and work in the State of Texas.
Patient Access Representative I, II - Sienna Multispecialty
Patient access representative job at UTHealth
UTHealth Houston - UT Physicians Sienna Multispecialty is hiring a Patient Access Representative to join their team of professionals. This role is essential in managing referrals, covering the front desk, and handling multiple in-baskets in our busy clinic, which sees 150-200 patients daily. The ideal candidate will have previous multispecialty experience.
Schedule: Monday - Friday, Saturday as needed
What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in.
Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus:
* 100% paid medical premiums for our full-time employees
* Generous time off (holidays, preventative leave day, both vacation and sick time - all of which equates to around 37-38 days per year)
* The longer you stay, the more vacation you'll accrue!
* Longevity Pay (Monthly payments after two years of service)
* Build your future with our awesome retirement/pension plan!
We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as...
* Free financial and legal counseling
* Free mental health counseling services
* Gym membership discounts and access to wellness programs
* Other employee discounts including entertainment, car rentals, cell phones, etc.
* Resources for child and elder care
* Plus many more!
Position Summary:
Responsible for ensuring medical necessity compliance, verifying eligibility, and posting payments.
Position Key Accountabilities:
1. Obtains demographic, insurance and financial information from patient or guarantor. Enters information in computer system with a high degree of accuracy.
2. May schedule patient appointments and enter required information in the computer system in an accurate and timely manner.
3. Explains all required forms to the patient or guarantor and obtains the necessary signatures.
4. Ensures medical necessity compliance by obtaining necessary data, reviewing Compliance System, communicating information to patient or guarantor and obtaining necessary signatures.
5. Protects the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility. Completes complex financial counseling including the review and submission of charity applications. Identifies alternative resources for financial reimbursement.
6. Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required timeframes.
7. Posts payments in the computer system and generates the appropriate patient receipts.
8. Communicates in an effective and professional manner with Physicians, Care Management, ancillary departments, nursing units, physicians' office staff, insurance companies, as well as patients and their families (all Patient Access customers). Completes thorough and accurate documentation.
9. Adheres to all university policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice.
10. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
11. Performs other duties as assigned.
Certification/Skills:
Ability to multi-task.
Proficient typing/keyboarding skills.
Minimum Education:
High School Diploma or equivalent
Minimum Experience:
One (1) year of experience in a hospital or medical business office setting.
Physical Requirements:
Exerts up to 50 pounds of force occasionally and/or up to 20 pounds frequently and/or up to 10 pounds constantly to move objects.
Security Sensitive:
This position is a security-sensitive position pursuant to Texas Education Code §51.215 and Texas Government Code §411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code §117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R. §791.4.
Veteran Information:
Military occupations that relate to the initial selection criteria and registration or licensure requirements for this position may include but are not limited to: 68G, 70E, 0808, 4A0X1
For a complete list please visit ***************************
Residency Requirement:
Employees must permanently reside and work in the State of Texas.
Insurance Authorization Verification Specialist III
Patient access representative job at UTHealth
What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in. Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus:
* 100% paid medical premiums for our full-time employees
* Generous time off (holidays, preventative leave day, both vacation and sick time - all of which equates to around 37-38 days per year)
* The longer you stay, the more vacation you'll accrue!
* Longevity Pay (Monthly payments after two years of service)
* Build your future with our awesome retirement/pension plan!
We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as...
* Free financial and legal counseling
* Free mental health counseling services
* Gym membership discounts and access to wellness programs
* Other employee discounts including entertainment, car rentals, cell phones, etc.
* Resources for child and elder care
* Plus many more!
Position Summary:
Works to achieve team and departmental goals by serving as a team lead for the Insurance Verification team responsible for verifying insurance policy benefit information and obtaining Authorization / Precertification, prior to the patient's visit or scheduled admission, or immediately following admission. Identifies problems and ensures that the insurance is accurate on the patient account. Assures insurance information and appropriate referrals have been completely and accurately obtained.
UTHealth is seeking a motivated Insurance Verification Specialist II to join our Revenue Cycle team. This role handles daily operations for assigned providers, including verifying insurance benefits, obtaining authorizations. and ensuring accurate referrals. Specialists maintain productivity, meet UTHealth metrics, and resolve insurance issues while delivering excellent patient service. We're looking for a team member who values efficiency, accuracy, and creating positive patient experiences.
* Location: Remote (2- 4 weeks onsite for training @ 1851 Crosspoint Ave, 77054) meetings, additional training, etc.).
* Must live in Texas (TX). This is a Remote position, and you must reside in Texas
* Must be able to attend any required onsite meetings
* We DO NOT provide lodging or mileage reimbursement for training
Position Key Accountabilities:
* Verifies insurance policy benefits for new and returning patients with carriers and employers.
* Assures all insurance information has been completely and accurately obtained. Documents all pertinent insurance information. Documents information given or received to support actions taken on insurance charges or referral issues.
* Identifies complex special policy clauses or pre-existing conditions and verifies effective date of policies.
* Mentors and serves as a resource for less experienced staff.
* Educates patients and families on insurance issues. Communicates patient's fiscal responsibility in a professional manner.
* Ensures that accurate notification of patient's insurance coverage, authorizations, or status is provided to all involved work units and departments.
* Identifies all patients without third party financial benefits and directs them for financial counseling according to Financial Counseling and Revenue Cycle policies and procedures.
* Receives and reviews UT-H Health Science Center' Managed Care contracts to understand the contract provisions. Interprets managed care contracts for insurance coverage.
* Provides support to Revenue Cycle work units and other work units as assigned.
* Performs other duties as assigned.
Certification/Skills:
Excellent communication skills, both oral and written.
Understanding of MS Office applications with an emphasis in Excel. Good math and basic clerical skills.
Proven ability to effectively problem solve.
Must have skill in establishing and maintaining effective working relationships with other employees, patients, governmental and commercial payer representatives.
Minimum Education:
High school or equivalent required. Graduate from a vocational business school in job related field or an Associate's Degree preferred.
Minimum Experience:
Five (5) years medical office experience required with good understanding of third party reimbursement procedures. Must have experience in working with various insurance companies including both governmental and commercial insurance plans.
Physical Requirements:
Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.
Security Sensitive:
This position is a security-sensitive position pursuant to Texas Education Code §51.215 and Texas Government Code §411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code §117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R. §791.4.
Residency Requirement:
Employees must permanently reside and work in the State of Texas.
Insurance Authorization Verification Specialist II
Patient access representative job at UTHealth
What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in. Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus:
* 100% paid medical premiums for our full-time employees
* Generous time off (holidays, preventative leave day, both vacation and sick time - all of which equates to around 37-38 days per year)
* The longer you stay, the more vacation you'll accrue!
* Longevity Pay (Monthly payments after two years of service)
* Build your future with our awesome retirement/pension plan!
We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as...
* Free financial and legal counseling
* Free mental health counseling services
* Gym membership discounts and access to wellness programs
* Other employee discounts including entertainment, car rentals, cell phones, etc.
* Resources for child and elder care
* Plus many more!
Position Summary:
Verifies insurance policy benefit information and obtains Authorization/ Precertification, prior to the patient's visit or scheduled admission, or immediately following admission. Assist in identifying problems and ensures that the insurance is accurate on the patient account. Assures insurance information and appropriate referrals have been completely and accurately obtained.
Eligibility and Verifications to join our Revenue Cycle team. UTHealth is seeking a motivated Insurance Verification Specialist II to join our Revenue Cycle team. This role handles daily operations for assigned providers, including verifying insurance benefits, obtaining authorizations. and ensuring accurate referrals. Specialists maintain productivity, meet UTHealth metrics, and resolve insurance issues while delivering excellent patient service. We're looking for a team member who values efficiency, accuracy, and creating positive patient experiences.
* Department: Revenue Cycle
* Status: Full-time
* Location: Remote (2 -4 weeks onsite for training @ 1851 Crosspoint Ave, 77054) , meetings, additional training, etc.
* Must live in Texas (TX) We DO NOT provide lodging or mileage reimbursement for training
Position Key Accountabilities:
* Verifies insurance policy benefits for new and returning patients with carriers and employers.
* Assures all insurance information has been completely and accurately obtained. Documents all pertinent insurance information. Documents information given or received to support actions taken on insurance charges or referral issues.
* Identifies special policy clauses or pre-existing conditions and verifies effective date of policies.
* Educates patients and families on insurance issues. Communicates patient's fiscal responsibility in a professional manner.
* Notifies appropriate work units of patient's insurance coverage, authorizations, or status.
* Identifies all patients without third party financial benefits and directs them for financial counseling according to Financial Counseling and Revenue Cycle policies and procedures.
* Receives and reviews UT-H Health Science Center' Managed Care contracts to understand the contract provisions. Interprets managed care contracts for insurance coverage.
* Provides support to Revenue Cycle work units and other work units as assigned.
* Other duties as assigned.
Certification/Skills:
Minimum Education:
High school diploma or equivalent required; some college preferred.
Minimum Experience:
Three years of related experience required.
Physical Requirements:
Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.
Security Sensitive:
This position is a security-sensitive position pursuant to Texas Education Code §51.215 and Texas Government Code §411.094. To the extent that a position requires the holder to research, work on, or have access to critical infrastructure as defined in Texas Business and Commerce Code §117.001(2), the ability to maintain the security or integrity of the infrastructure is a minimum qualification to be hired for and to continue to be employed in that position. Personnel in such positions, and similarly situated state contractors, will be routinely reviewed to determine whether things such as criminal history or continuous connections to the government or political apparatus of a foreign adversary might prevent the applicant, employee, or contractor from being able to maintain the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R. §791.4.
Residency Requirement:
Employees must permanently reside and work in the State of Texas.