Patient Access Center Representative - Central Scheduling Primary Care Group (Katy) Part-Time

Patient Access Center Representative

At Houston Methodist, the Patient Access Center Representative position is responsible for assuring that patients 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 visit our clinics and providing notification to patients, physicians and management of issues that may result in potential service delays or reimbursement denials.

The Patient Access Center Representative position maintains HIPPA guidelines and provides empathetic patient care by focusing on maintaining ICARE values throughout the interaction.

This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business / job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

Qualifications

Education : High School diploma or equivalent education (examples include : GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)

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. Healthcare setting knowledge and experience with a strong understanding of medical terminology preferred.

License / Certification : N / A

Licenses and Certifications - Preferred :

CMA - Certified Medical Assistant Satisfactory program completion and clinical licensure OR

LVN - Licensed Vocational Nurse - State Licensure Satisfactory program completion and clinical licensure

Knowledge, Skills, and Abilities

Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations.

Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security.

Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles.

Excellent communication and interpersonal skills via telephone and in person.

Demonstrated proficiency in medical terminology to include diagnoses, operative procedures, and CPT codes.

Knowledge of medical terminology and applicability.

Excellent spelling / grammar skills.

Working knowledge of PC environment utilizing Windows and word processing and basic Excel knowledge. Must be able to enter data via keyboard throughout the work schedule.

Capable of working and navigating several applications and websites related to registration simultaneously.

Managed care knowledge with the ability to differentiate between insurance plans such as PPO, POS, HMO, etc.

Company Profile

Houston Methodist (HM) is one of the nation's leading health systems and academic medical centers. HM 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 metropolitan area. HM 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, HM employs over 25,000 employees. Houston Methodist is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide the best patient care and service in a spiritual environment.

In 2019 Houston Methodist and its physicians treat more than 6,333 international patients from more than 76 countries. Houston Methodist Global Health Care Services' consulting and education divisions also provide advisory services and training and development to health care organizations around the world.