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Patient Access Center Representative - Imaging (PRN)

Patient Access Center Representative - Imaging (PRN)

Houston StaffingHouston, TX, US
2 days ago
Job type
  • Full-time
Job description

Patient Access Center Representative

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. This position assists management with ongoing observations and notifications of opportunities while providing innovative suggestions for process improvement. The Patient Access Center Representative position also assists management with auditing / quality review to ensure accurate and appropriate scheduling and registration. Additional responsibilities for this position include providing excellent customer service when communicating with patients who receive services at our facilities and providing notification to patients, physicians, hospital / clinical staff and management of issues that may result in potential service delays or reimbursement denials.

People Essential Functions :

  • Demonstrates ability to use critical thinking skills and healthcare knowledge to manage through primary care, specialty care, and ancillary scheduling processes.
  • Serves as the front door of Houston Methodist interacting with new and established patients providing them with information needed to schedule and register multiple services for Houston Methodist.
  • Triages calls for the System Patient Access Center as appropriate to other areas as received on a daily basis while working under the guidelines and scripts as set forth by management.
  • Follows established protocols directly as indicated by management and physicians on applicable platforms on an as needed basis.
  • Keeps open channels of communication with all parties involved, including physician, patient, and service areas.

Service Essential Functions :

  • Utilizes courteous and professional telephone techniques and interpersonal skills to establish and maintain rapport with patients, physicians / office personnel and various hospital personnel.
  • Coordinates the workflow to assist patients with appointment scheduling and / or requests for services.
  • Helps facilitate, coordinate, and resolve issues with patients by exhibiting and exercising exceptional telephone, verbal, written, exemplary critical thinking and interpersonal communication skills.

    • Quality / Safety Essential Functions :

  • Adheres to scheduling processes and workflows as defined in the electronic medical record platform.
  • Maintains standard of productivity set by department policy and procedures.
  • Utilizes resources to perform verification of patient insurance.
  • Ensures verification and eligibility procedures are followed prior to patient visit.

    • Finance Essential Functions :

  • Works in partnership with the revenue cycle team and other departments to ensure the correct information and registration is complete and accurate prior to the patient visiting Houston Methodist for services.
  • Obtains and enters accurate scheduling and registration data.
  • Documents patient's accounts with information related to any potential issue(s) that could result in service delays or cancellations due to the lack of financial clearance.

    • Growth / Innovation Essential Functions :

  • Works directly with physicians, clinic staff, hospital departments and patients to ensure best practices within department.
  • Works with manager to improve areas requiring concern as indicated, embraces change, and strives for excellence in the workplace.
  • Applies new learning and shares knowledge with others.

    • Education :

  • High School diploma or equivalent education.

    • Work Experience :

  • 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.

    • Licenses and Certifications - Required :

  • N / A

    • Knowledge, Skills, and Abilities :

  • Demonstrates the skills and competencies necessary to safely perform the assigned job.
  • Sufficient proficiency in speaking, reading, and writing the English language.
  • 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.
  • Working knowledge of PC environment utilizing Windows and word processing and basic Excel knowledge.
  • Managed care knowledge with the ability to differentiate between insurance plans.

    • Company Profile :

    Houston Methodist is one of the nation's leading health systems and academic medical centers. Houston Methodist consists of eight hospitals : Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston area. Houston Methodist also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, Houston Methodist employs more than 27,000 employees and is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care. Houston Methodist is an Equal Opportunity Employer.

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    Patient Representative • Houston, TX, US

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