Registration and Billing Representative - PRN Med Center

This is a PRN Registration and Billing position (non-benefited) that will report to the Corporate Wellness department. The following are further details about the role:

• Coverage at corporate partner locations around the Greater Houston Area (mileage reimbusement available)
• Temporary role for the Fall to assist with Corporate Sponsorship events
• As needed schedule with an average of two-week notice 

At Houston Methodist, the Registration & Billing Representative position is responsible for processing and maintaining charges and payments for self pay, company pay or insurance pay patient procedures. This position registers patients, verifies demographics information, greets patients, and performs check in and/or check out functions after services have been rendered. Additional responsibilities include serving as a financial liaison for patients, verifying benefit eligibility, ensuring correct charge and payment capture is conducted, distributing appropriate receipts to the patient, and reconciling billing and invoices.

PEOPLE ESSENTIAL FUNCTIONS

• Promotes a positive work environment and contributes to a dynamic team focused work unit that actively helps one another to achieve optimal departmental and organizational results.

• Communicates openly in a non-judgmental manner and in a professional demeanor during all interactions with customers and co-workers.

SERVICE ESSENTIAL FUNCTIONS

• Enters new patient demographic information into the computer system. Verifies insurance coverage and eligibility.

• Resolves routine patient billing inquiries and problems. May perform insurance billing clerical work, including reviewing and verifying insurance accounts against program/ procedure provisions.

• Prepares patients for procedures (e.g., explains what is allowed to eat/drink and when, instructs what to wear, escorts patient to dressing room, etc.).

• Retrieves and processes daily physician procedure logs (e.g., EKG's, Echo, Nuclear, Holter, Treadmill, etc.).

QUALITY/SAFETY ESSENTIAL FUNCTIONS

• Checks in patients and verifies demographics in system.

• Ensures that patient chart is prepared for all components of patient schedule.

• Consistently takes the necessary steps to ensure that protected health information remains private and confidential, according to established Health Insurance Portability and Accountability Act (HIPAA) guidelines. Uses patient identifiers consistently to properly identify patients and the correct medical records. Refrains from issuing new medical record numbers to patients with existing accounts.

FINANCE ESSENTIAL FUNCTIONS

• Communicates with patient and/or third parties about covered and non-covered charges. Enters financial data into system to begin accounts receivable process.

• Reconciles billing and invoices, checks balances, produces statements, and maintains client files.

• Balances daily charges and daily batch payment postings in system with schedule and payments received.

• Organizes time effectively, minimizing incidental overtime and sets priorities. Utilizes time between heavy workloads efficiently and helps other team members.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

• Displays initiative to improve job functions. Demonstrates adaptability and flexibility during changing demands. Offers suggestions to streamline process for efficient patient flow.

• Seeks opportunities to expand learning beyond baseline competencies with a focus on continual development.

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

• 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 clerical experience to include one year of billing experience