At Houston Methodist, the Senior Patient Services Representative is responsible for performing patient check in/check out functions and appointment scheduling to facilitate the patient visit experience. Responsibilities include performing more complex processes related to scheduling or other department related protocols and serving as a role model and mentor to less experienced staff. This position supports timely, accurate claims submission and may perform registration and/or other revenue cycle functions. Other duties include providing general operations assistance and/or patient service tasks specific to the scope of the department.
PRIMARY JOB RESPONSIBILITIES
Job responsibilities labeled EF capture those duties that are essential functions of the job.
PEOPLE - 35%
Contributes to a positive work environment and to a dynamic, team focused work unit that actively helps one another to achieve optimal department results. Collaborates with all members of the interprofessional health care team by actively communicating and reporting pertinent patient care information and data in a comprehensive manner. (EF)
Performs patient check in/check out functions. Obtains and inputs accurate scheduling and registration data to initiate financial clearance activities as needed. Performs more complex processes related to scheduling or other clinic related protocols. (EF)
Coordinates patient flow as directed with consistency, timeliness, and expert skill while meeting appropriate priority standards. Provides appropriate notification of issues that may result in service delays or denials. Handles add-ons, reschedules, and cancellations appropriately and as per department protocol. (EF)
Functions as a role model and mentor for less experienced staff and serves as the next level resolution source for problems. (EF)
SERVICE - 25%
Uses excellent communication skills (verbal, non-verbal, written) to facilitate providing the highest quality service during every patient, physician, guest, employee, or other encounter. Responds promptly to requests by staff, patients, physicians, and other members of the patient care team. Recognizes and responds appropriately to urgent/emergent situations per protocols. (EF)
Contributes to patient, employee and physician satisfaction as well as effective revenue cycle process. (EF)
Generates reports and assists with department correspondence. Provides other administrative assistance as directed. (EF)
QUALITY/SAFETY - 15%
Serves as a liaison for the patient, medical staff, and third parties. Communicates to resolve patient access and quality service matters. Keeps open channels of communication with physician, patient, and service areas regarding action taken and resolution. (EF)
Enters patient and operational data into various database systems with a high level of thoroughness, accuracy and timeliness. (EF)
Ensures patient information is conveyed to others appropriately while complying with patient confidentiality and HIPAA regulations. May assist clinical staff as per scope of the treatment center. (EF)
FINANCE - 20%
Accurately records information when performing functions such as charge entry, registration, scheduling, insurance verification/coordination, or obtaining authorizations or referrals to ensure financial objectives are met. Conducts front end revenue cycle duties as directed. Educates patients and others regarding billing processes and potential financial responsibilities as necessary. (EF)
- Organizes time effectively, minimizing incidental overtime, and sets priorities. Utilizes time between heavy workloads efficiently and helps other team members. (EF)
Uses department resources/equipment/supplies properly and efficiently. Participates in inventory management by taking action to ensure supply levels are adequate. (EF)
GROWTH/INNOVATION - 5%
Displays initiative to improve job functions; offers suggestions to streamline process for efficient patient flow and other quality or service matters. (EF)
Seeks opportunities to expand learning beyond baseline competencies with a focus on continual development. (EF)
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.
High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)
Five years of experience to include three years experience in a related role within healthcare
CERTIFICATIONS, LICENSES AND REGISTRATIONS REQUIRED
KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
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
Strong customer service, phone and scheduling skills
Basic computer skills in word processing applications and ability to utilize software systems such as the electronic medical record
Knowledge of basic medical terminology
Ability to analyze and solve problems
Working knowledge of revenue cycle components and insurance requirements for reimbursement
No (for Non-Exempt or Exempt jobs)
- Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Event, etc) regardless of selection above.
May require travel within
Houston Metropolitan area
May require travel outside
of Houston Metropolitan area
**Travel specifications may vary by department.
Please note any other special considerations to this job: Ability to flex hours to meet operational needs related to unanticipated volume changes or problems
At Houston Methodist Primary Care Group, we have brought together primary care providers to help patients manage their overall health and serve as a crucial member of the health care team. As part of the Houston Methodist system of hospitals, patients have efficient access to specialty and hospital services whenever the need arises. With more than 150 primary care providers at more than 40 locations across Houston, our providers are committed to providing the right care at the right time in convenient locations throughout the Houston area.