Registration and Billing Representative - PRN Med Center_

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
**LICENSES AND CERTIFICATIONS - REQUIRED**
+ N/A
**KNOWLEDGE, SKILLS, AND ABILITIES**
+ 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
+ Knowledge of insurance requirements for physician visits and procedures
+ Knowledge of requirements for non-invasive lab procedures
+ Ability to multi-task and flexibility to meet the requirements of the patients and the department
+ Ability to problem solve
+ Ability to remain calm in stressful situations with patience and understanding
+ Proficient computer skills and ability to learn and navigate multiple software programs
+ Ability to handle detail work accurately and rapidly
**SUPPLEMENTAL REQUIREMENTS**
**WORK ATTIRE**
+ Uniform Yes
+ Scrubs No
+ Business professional Yes
+ Other (department approved) Yes
**ON-CALL***
_*Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) 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 Yes
**Company Profile:**
Houston Methodist is one of the nation’s leading health systems and academic medical centers. Houston Methodist consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston area. Houston Methodist also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, Houston Methodist employs more than 27,000 employees and is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care.
Houston Methodist is an equal opportunity employer inclusive of women, minorities, disabled persons and veterans.
**Equal Employment Opportunity**
Houston Methodist is an Equal Opportunity Employer.
Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law. VEVRAA Federal Contractor – priority referral Protected Veterans requested.
Houston Methodist is an Equal Opportunity Employer.
Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law. VEVRAA Federal Contractor – priority referral Protected Veterans requested.