Houston Methodist
Patient Access Center Representative
Houston Methodist, Nashville, Tennessee, United States, 37247
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Patient Access Center Representative
role at
Houston Methodist .
At Houston Methodist, the Patient Access Center Representative position is responsible for assuring that patients who need to schedule 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.
FLSA STATUS Non‑exempt
Qualifications Education
High School diploma or equivalent education (e.g., GED, verified homeschool equivalency, partial or full completion of post‑secondary education, etc.)
Experience
Three years of experience in a 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.
Skills and Abilities
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations.
Proficient in speaking, reading, and writing English.
Ability to effectively communicate with patients, physicians, family members, and co‑workers in a customer‑service focused manner.
Excellent telephone and in‑person communication and interpersonal skills.
Proficiency in medical terminology, including diagnoses, operative procedures, and CPT codes.
Excellent spelling and grammar skills.
Working knowledge of a PC environment (Windows, word processing, basic Excel). Must be able to enter data via keyboard throughout the work schedule.
Ability to work and navigate multiple applications and websites related to registration simultaneously.
Managed care knowledge with the ability to differentiate between insurance plans such as PPO, POS, HMO, etc.
Essential Functions People Essential Functions
Demonstrates critical thinking skills and healthcare knowledge to manage primary care, specialty care, and ancillary scheduling processes.
Serves as the front door of Houston Methodist interacting with new and established patients providing information to schedule and register multiple services.
Triages calls for the System Patient Access Center and forwards them to appropriate areas as needed.
Follows established protocols and utilizes multiple software applications to schedule appointments.
Makes open communication channels with all parties involved, including physicians, patients, and service areas.
Service Essential Functions
Uses courteous and professional telephone techniques and interpersonal skills to establish rapport with patients, physicians, and hospital personnel while maintaining confidentiality.
Coordinates workflow to assist patients with appointment scheduling and requests for services.
Collects and compiles data from patients such as insurance documentation and identification.
Screens and assesses patient calls, ensuring patients are scheduled for services as requested.
Schedules patient appointments, completes registration, answers incoming calls, and acts as liaison between patient and clinician.
Handles calls from physician offices or hospital departments, maintaining relationships and obtaining necessary documents.
Facilitates and resolves issues with patients using exceptional communication and critical‑thinking skills.
Quality/Safety Essential Functions
Adheres to scheduling processes and workflows as defined in the electronic medical record platform while maintaining privacy and complying with HIPAA guidelines.
Maintains productivity standards set by department policy and meets scheduling goals such as abandonment rate and productivity per hour.
Verifies patient insurance to support departmental and hospital clinical/financial needs.
Ensures verification and eligibility procedures are followed prior to patient visit.
Finance Essential Functions
Works with the revenue cycle team and other departments to ensure accurate and complete registration prior to patient visit.
Enters accurate scheduling and registration data, including patient demographics, insurance, guarantor, and clinical information to initiate financial clearance activities.
Growth/Innovation Essential Functions
Works directly with physicians, clinic staff, and patients to ensure best practices; collaborates with manager to improve areas of concern.
Embraces change and strives for excellence, sharing new learning with others.
Supplemental Requirements Work Attire
Uniform: No
Scrubs: No
Business professional: Yes
Other (department approved): No
On‑Call
Note that employees may be required to be on‑call during emergencies (e.g., disaster, severe weather events) regardless of selection below.
On Call: No
Travel
Travel specifications may vary by department.
May require travel within the Houston Metropolitan area: Yes
May require travel outside Houston Metropolitan area: No
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Health Care Provider
Industries Hospitals and Health Care
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Patient Access Center Representative
role at
Houston Methodist .
At Houston Methodist, the Patient Access Center Representative position is responsible for assuring that patients who need to schedule 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.
FLSA STATUS Non‑exempt
Qualifications Education
High School diploma or equivalent education (e.g., GED, verified homeschool equivalency, partial or full completion of post‑secondary education, etc.)
Experience
Three years of experience in a 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.
Skills and Abilities
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations.
Proficient in speaking, reading, and writing English.
Ability to effectively communicate with patients, physicians, family members, and co‑workers in a customer‑service focused manner.
Excellent telephone and in‑person communication and interpersonal skills.
Proficiency in medical terminology, including diagnoses, operative procedures, and CPT codes.
Excellent spelling and grammar skills.
Working knowledge of a PC environment (Windows, word processing, basic Excel). Must be able to enter data via keyboard throughout the work schedule.
Ability to work and navigate multiple applications and websites related to registration simultaneously.
Managed care knowledge with the ability to differentiate between insurance plans such as PPO, POS, HMO, etc.
Essential Functions People Essential Functions
Demonstrates critical thinking skills and healthcare knowledge to manage primary care, specialty care, and ancillary scheduling processes.
Serves as the front door of Houston Methodist interacting with new and established patients providing information to schedule and register multiple services.
Triages calls for the System Patient Access Center and forwards them to appropriate areas as needed.
Follows established protocols and utilizes multiple software applications to schedule appointments.
Makes open communication channels with all parties involved, including physicians, patients, and service areas.
Service Essential Functions
Uses courteous and professional telephone techniques and interpersonal skills to establish rapport with patients, physicians, and hospital personnel while maintaining confidentiality.
Coordinates workflow to assist patients with appointment scheduling and requests for services.
Collects and compiles data from patients such as insurance documentation and identification.
Screens and assesses patient calls, ensuring patients are scheduled for services as requested.
Schedules patient appointments, completes registration, answers incoming calls, and acts as liaison between patient and clinician.
Handles calls from physician offices or hospital departments, maintaining relationships and obtaining necessary documents.
Facilitates and resolves issues with patients using exceptional communication and critical‑thinking skills.
Quality/Safety Essential Functions
Adheres to scheduling processes and workflows as defined in the electronic medical record platform while maintaining privacy and complying with HIPAA guidelines.
Maintains productivity standards set by department policy and meets scheduling goals such as abandonment rate and productivity per hour.
Verifies patient insurance to support departmental and hospital clinical/financial needs.
Ensures verification and eligibility procedures are followed prior to patient visit.
Finance Essential Functions
Works with the revenue cycle team and other departments to ensure accurate and complete registration prior to patient visit.
Enters accurate scheduling and registration data, including patient demographics, insurance, guarantor, and clinical information to initiate financial clearance activities.
Growth/Innovation Essential Functions
Works directly with physicians, clinic staff, and patients to ensure best practices; collaborates with manager to improve areas of concern.
Embraces change and strives for excellence, sharing new learning with others.
Supplemental Requirements Work Attire
Uniform: No
Scrubs: No
Business professional: Yes
Other (department approved): No
On‑Call
Note that employees may be required to be on‑call during emergencies (e.g., disaster, severe weather events) regardless of selection below.
On Call: No
Travel
Travel specifications may vary by department.
May require travel within the Houston Metropolitan area: Yes
May require travel outside Houston Metropolitan area: No
Seniority Level Mid‑Senior level
Employment Type Full‑time
Job Function Health Care Provider
Industries Hospitals and Health Care
Referrals increase your chances of interviewing at Houston Methodist by 2x.
Get notified about new Patient Access Representative jobs in
Nashville, TN .
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr