Patient Access Specialist

 
Position: Patient Access Specialist

Location: US-TX-Houston

Talent Area: Administrative Support

Shift: M – F (3:00pm – 11:00pm) ; M – TH (7a – 5p) ; M, T, W (9a – 9p) ; M – F (7a – 5p)

About Texas Children's Hospital

Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.   To join our community of 13,000 dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.

Summary:

We are searching for a Patient Access Specialist - someone who works well in a fast-paced setting. In this position, you’ll provide assistance within a comprehensive guest services program that helps meet the unique needs of members and families at The Center, to include appointment assistance, directions, transportation, and problem resolution. Additionally, you’ll manage and respond to all customer inquiries regarding member accounts and to ensure appropriate issue resolution. You’ll also manage The Center’s self-pay accounts receivables to ensure continuity of cash flow and the collection of all funds (co-pay or self-pay) with efficient account resolution.

 

Think you’ve got what it takes?

 



Responsibilities :

  • Provides way finding, general assistance and customer service to all Center patients/families
  • Incorporates the concept of care team approach by involving appropriate departmental representatives and resources necessary for effective problem resolution for each patient being seen at the Center
  • Schedules appointments per practice protocol
  • Demonstrates ability to use judgment when scheduling provider’s templates
  • Partners with Patient and Family to Achieve Appointment Compliance
  • Communicates with the appropriate member of the care team relating to patient and family barriers
  • Answers telephone calls, assesses needs and determines appropriate actions for account resolution
  • Updates the appropriate systems with comprehensive documentation of all steps taken to resolve the account
  • Change Fund Administration
  • Patient Receipting and Reconciliation
  • Updates, maintains and documents patient account information accurately in the appropriate accounting/billing systems
  • Updates guarantor and patient demographics, insurance information, requests, and payment arrangement information as needed
  • Actively participates in special assignments, programs, or improvement initiatives with successful outcomes
  • Demonstrates commitment to team, flexibility, professional interpersonal, communication, critical thinking, and customer service skills
  • Demonstrates the ability to problem solve, identifies appropriate resources, adapt to ongoing change, and handle conflict management with a professional and supportive attitude


Qualifications:

  • High school diploma or equivalent
  • Two (2) years customer service or business experience, preferably in healthcare environment
  • College degree preferred


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