Patient Access Representative

Night Patient Access Representative - Er

Townsen Memorial Hospital is hiring a full-time night patient access representative - ER at our new state-of-the-art facility in West Houston (77072). The patient access representative ER serves as a liaison between the patient and payers to collect and receive patient information to generate an account for services provided. The patient access representative will be responsible for facilitating patient tracking and billing by obtaining pertinent patient demographic information and collecting financial obligations for care provided by the facility.

Essential functions :

• Verifies insurance benefits for all plans associated with patients confirming the correct payor and plan is entered into the patient accounting system.
• Obtains insurance referrals and / or authorizations as required by individual insurance plans documenting authorization / referral numbers in the appropriate fields for accurate billing.
• Collects, verifies, and accurately enters patient demographic information to ensure seamless revenue cycle processing.
• Adheres to facility protocols when modifying clinically sensitive data such as patient name, date of birth, or gender after admission.
• Monitors and clears all work queues daily ensuring all account elements are secured for billing.
• Secures patient accounts to optimize hospital reimbursement while maintaining a customer-focused approach.
• Delivers exceptional customer service throughout the registration process.
• Enhances collection efficiency and accuracy by securing payments at the time of service.
• Proactively contacts patients or guarantors before their service date to provide estimated payment details documenting all successful and unsuccessful contact attempts.
• Verifies copay information on insurance cards against account records for accuracy.
• Collects patient payments at the time of service accurately documenting the amount and payment method.
• Ensures complete and precise documentation for each visit to maintain compliance with hospital and government regulations.
• Tracks and maintains personal productivity statistics to support departmental quality improvement efforts.
• Welcomes patients upon arrival and provides relevant information.
• Assists patients in completing necessary forms and documentation.
• Verifies the accuracy and completeness of patient forms and inputs demographic details into the EMR system.
• Answers and manages incoming calls addressing inquiries and directing calls as needed.
• Forwards calls and messages to the appropriate medical staff.
• Keeps patients' families informed about their loved ones' status.
• Prepares and labels patient charts accurately.
• Manages incoming and outgoing mail for the office.
• Maintains a clean and organized and welcoming reception area including the arrangement of magazines.
• Follows workplace safety guidelines promptly reporting accidents and addressing minor hazards.
• Communicates with peers and management regarding identified workplace hazards.
• Upholds patient privacy and confidentiality in compliance with HIPAA regulations and company policies.
• Adheres to company standards of business conduct.
• Performs other related tasks as needed.

Knowledge, skills, and abilities :

Education and experience :

Benefits :

Townsen Memorial Hospital is an accredited network of facilities with an emphasis on emergency care, outpatient surgery, and diagnostics and imaging. Our core mission is to provide compassionate evidence-based patient care to those we serve. At Townsen Memorial we encompass diversity, dignity, and inclusiveness as a reflection of our core values. Townsen Memorial is committed to driving cutting-edge healthcare to our patients, our communities, and each other.