Patient Access Analyst

Houston Methodist
The Woodlands, TX Full Time
POSTED ON 1/23/2023 CLOSED ON 6/6/2023

What are the responsibilities and job description for the Patient Access Analyst position at Houston Methodist?

Overview

JOB SUMMARY

At Houston Methodist, the Patient Access Analyst position is responsible for the audit, analysis and resolution of patient accounts and processes with regards to patient access and billing procedures. This position works closely with Patient Access teams, Health Information Management staff, and others, serving as a point-of-contact for the assigned patient access functional area. Duties include analyzing information in the electronic medical record, ensuring data integrity, and reviewing data flows for process improvement opportunities. The Patient Access Analyst position communicates various activities to interested parties or team members as they relate to issue identification and resolution and assists management with various operations duties as needed.

Houston Methodist Standard

PATIENT AGE GROUP(S) AND POPULATION(S) SERVEDRefer 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
  • Displays cultural humility, diversity, equity and inclusion principles

  • Actively supports the organization vision, fulfills the mission and abides by the I CARE values

Responsibilities

PRIMARY JOB RESPONSIBILITIES

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

 

PEOPLE - 20%

  • 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. (EF)
  • Partners with Patient Access team members, Billing office and/or Health Information Management staff, and others for issue identification and resolution. (EF)
  • Assists in identifying trends and opportunities for staff training. Develops training aids as needed. (EF)
  •  

    SERVICE - 25%

  • Monitors electronic health record (EHR) work queues that support patient access and assists with resolving problem areas. (EF)
  • Researches accounts as they relate to patient identity and demographic issues. Refers accounts for merging as appropriate. (EF)
  • Responds promptly to requests by staff, patients, and physicians. Assists other areas of patient access operations as needed. (EF)
  •  

    QUALITY/SAFETY - 15%

  • Communicates to resolve patient access and quality service matters. Keeps open channels of communication with respective team members and service areas regarding action taken and outcome. (EF)
  • Determines the correct action to be taken to ensure the integrity of the data. (EF)
  • Adheres to department standards for productivity, timeliness, and quality. (EF)
  • Compiles, maintains, and reports various patient information as it relates to Quality Assurance. (EF)
  •  

    FINANCE - 25%

  • Reviews patient accounts, investigates data, and resolves account issues to ensure timely billing and reimbursement. (EF)
  • Organizes time effectively, minimizing incidental overtime, and sets priorities. Utilizes time between heavy workloads efficiently and helps other team members. (EF)
  •  

    GROWTH/INNOVATION - 15%

  • Seeks opportunities to expand learning beyond baseline competencies with a focus on continual development.
  • Generates and communicates new ideas and suggestions that will improve quality or service. (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.

    Qualifications

    EDUCATION REQUIREMENTS

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

     

    EXPERIENCE REQUIREMENTS

    o Four years of customer service experience to include two years of experience in hospital revenue cycle operations

    o Admitting, registration, or patient account resolution experience preferred

    License/Certification

    CERTIFICATIONS, LICENSES AND REGISTRATIONS REQUIRED

    o None

    KSA/ Supplemental Data

    KNOWLEDGE, SKILLS AND ABILITIES REQUIRED

    o Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations

    o 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

    o 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

    o Ability to multi-task and flexibility to meet the needs of patients, physicians, and department

    o Knowledge of basic registration/access functions and insurance procedures/requirements

    o Ability to problem solve and apply critical thinking skills

    o Excellent customer service and professional communication skills

    o Proficient computer skills and ability to learn and navigate multiple software programs

    o Ability to handle detail work accurately and rapidly

    o Self-directed and ability to work independently

    o Ability to prioritize and apply time management skills

     

    SUPPLEMENTAL REQUIREMENTS

     

    Work Attire Yes/No

    Uniform No

    Scrubs No

    Business professional Yes

    Other (dept approved) Yes

     

    On-Call* No

     

    *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: __________________________

    Company Profile

    Houston Methodist The Woodlands opened in 2017 as the eighth hospital in the Houston Methodist system. This 187-bed, 470,000-square-foot, full-service, acute care hospital offers many of the same services as our flagship hospital in the Texas Medical Center. Also on the $380 million hospital campus, located at the intersection of I-45 and TX 242, is a medical office building, which opened in 2016. Medical Office Building 1 includes a breast care center, cancer center & infusion center, orthopedics & sports medicine, rehabilitation services, wellness services, and an outpatient laboratory in addition to multi-specialty physician practices. A second medical office building and 785-car parking garage opened in 2018.

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