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Senior Patient Services Representative- Breast Surgery (Sugar Land)

Company: Houston Methodist
Location: Sugar Land
Posted on: May 3, 2021

Job Description:

JOB SUMMARY
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.


PATIENT AGE GROUP(S) AND POPULATION(S) SERVED
Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.


HOUSTON METHODIST EXPERIENCE EXPECTATIONS

  • Provide personalized care and service by consistently demonstrating our I CARE values:
    • INTEGRITY: We are honest and ethical in all we say and do.
    • COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
    • ACCOUNTABILITY: We hold ourselves accountable for all our actions.
    • RESPECT: We treat every individual as a person of worth, dignity, and value.
    • EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.
  • Focuses on patient/customer safety
  • Delivers personalized service using HM Service Standards
  • Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)
  • Intentionally rounds with patients/customers to ensure their needs are being met
  • Involves patients (customers) in shift/handoff reports byenabling their participation in their plan of care as applicable to the given job


PRIMARY JOB RESPONSIBILITIES
Job responsibilities labeled EF capture those duties that are essential functions of the job.

PEOPLE - 35%

  1. 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)
  2. 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)
  3. 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)
  4. Functions as a role model and mentor for less experienced staff and serves as the next level resolution source for problems. (EF)

SERVICE - 25%
  1. 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)
  2. Contributes to patient, employee and physician satisfaction as well as effective revenue cycle process. (EF)
  3. Generates reports and assists with department correspondence. Provides other administrative assistance as directed. (EF)

QUALITY/SAFETY - 15%
  1. 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)
  2. Enters patient and operational data into various database systems with a high level of thoroughness, accuracy and timeliness. (EF)
  3. 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%
  1. 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)
  2. Organizes time effectively, minimizing incidental overtime, and sets priorities. Utilizes time between heavy workloads efficiently and helps other team members. (EF)
  3. 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%
  1. Displays initiative to improve job functions; offers suggestions to streamline process for efficient patient flow and other quality or service matters. (EF)
  2. 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.


EDUCATION REQUIREMENTS

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

EXPERIENCE REQUIREMENTS
  • Five years of experience to include three years experience in a related role within healthcare


CERTIFICATIONS, LICENSES AND REGISTRATIONS REQUIRED

  • None


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

SUPPLEMENTAL REQUIREMENTS

Work Attire Yes/No
Uniform No
Scrubs No
Business professional Yes
Other (dept approved) No

On-Call* 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.

Travel**
May require travel within No
Houston Metropolitan area  

May require travel outside No
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





Houston Methodist Specialty Physician Group - As one of the nation’s leading hospitals and academic medical centers Houston Methodist has brought together some of the nation’s leading experts in multiple specialties to serve our patients.  As part of Houston Methodist Specialty Physician Group (HMSPG), these specialists not only provide excellent clinical care, but are on the forefront of research, developing leading-edge technologies and treatments, and teaching the medical pioneers of tomorrow.  This combination of clinical service, research and academics ensures patients have access to the latest in treatments and technologies while providing the best in comprehensive patient care.  Established as a non-profit corporation and certified by the Texas State Board of Medical Examiners, HMSPG enables physicians to maintain autonomy with respect to their clinical practice while growing their practice within an academic environment.


Keywords: Houston Methodist, Sugar Land , Senior Patient Services Representative- Breast Surgery (Sugar Land), Other , Sugar Land, Texas

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