Patient Access Representative II - Otorhinolaryngology Head & Neck (TMC)
UTHealth Houston, Houston, TX, United States
UTHealth Houston Otorhinolaryngology Head & Neck is hiring a Patient Access Representative II to join their clinic in the Texas Medical Center. In this position, the PAR II will be responsible for ensuring medical necessity compliance, verifying eligibility, and posting payments. Bilingual (English/Spanish) preferred. Location: 6400 Fannin Street.
Benefits
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!
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 Key Accountabilities
Obtains demographic, insurance and financial information from patient or guarantor.
Enters information in the 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 and Skills
None
Minimum Education and Experience
High School Diploma or equivalent required.
2 years of experience in a hospital or medical business office setting required.
Physical Requirements
Exerts up to 50 pounds of force occasionally, up to 20 pounds frequently, and 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, 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 are routinely reviewed to determine whether criminal history or connections to the government or a foreign adversary might prevent the applicant, employee, or contractor from maintaining the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R. 791.4 Veteran Information.
Residency Requirement
Employees must permanently reside and work in the State of Texas.
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Benefits
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!
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 Key Accountabilities
Obtains demographic, insurance and financial information from patient or guarantor.
Enters information in the 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 and Skills
None
Minimum Education and Experience
High School Diploma or equivalent required.
2 years of experience in a hospital or medical business office setting required.
Physical Requirements
Exerts up to 50 pounds of force occasionally, up to 20 pounds frequently, and 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, 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 are routinely reviewed to determine whether criminal history or connections to the government or a foreign adversary might prevent the applicant, employee, or contractor from maintaining the security or integrity of the infrastructure. A foreign adversary is a nation listed in 15 C.F.R. 791.4 Veteran Information.
Residency Requirement
Employees must permanently reside and work in the State of Texas.
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