Patient Access Center Representative (PRN)

At Houston Methodist, the Patient Access Center Representative position is responsible for assuring that patients in need of scheduling appointments 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. Work shift: 1 - Day. Job category: Non-clinical. FLSA status: Non-exempt. Business professional attire required. May require travel within the Houston Metropolitan area.

Responsibilities

Assure patients in need of scheduling appointments are scheduled in their assigned location and financially cleared prior to appointment through accurate and timely scheduling, registration, and verification of eligibility and benefits; Assist management with ongoing observations, notifications of opportunities, and innovative suggestions for process improvement; Assist management with auditing and quality review of scheduling and registration; Provide excellent customer service to patients; Notify patients, physicians, hospital/clinical staff, and management of issues that may result in service delays or reimbursement denials; Serve as the front door of Houston Methodist interacting with new and established patients; Triage calls for the System Patient Access Center; Encourage patients to enroll in the Patient Portal and provide PIN numbers in compliance with HIPAA; Collect patient insurance and identification information; Schedule patient appointments and complete registration; Verify patient insurance and eligibility prior to visit; Work with the revenue cycle team to ensure accurate registration; Maintain scheduling productivity and department goals

Requirements

High School diploma or equivalent education; Three years of experience in healthcare setting, call center, or customer service operations, or successful completion of one-year Houston Methodist Call Center Apprenticeship in lieu of years of experience; Sufficient proficiency in speaking, reading, and writing English; Ability to effectively communicate with patients, physicians, family members, and co-workers; Excellent communication and interpersonal skills via telephone and in person; Demonstrated proficiency in medical terminology including diagnoses, operative procedures, and CPT codes; Excellent spelling and grammar skills; Working knowledge of PC environment using Windows, word processing, and basic Excel; Ability to enter data via keyboard throughout the work schedule; Capable of working and navigating several registration applications and websites simultaneously; Managed care knowledge with ability to differentiate between insurance plans such as PPO, POS, HMO

Nice to have

Healthcare setting knowledge and experience; Strong understanding of medical terminology