Patient Access Analyst – Days

Houston, Texas
Houston Methodist Hospital

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.

PRIMARY JOB RESPONSIBILITIES

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

PEOPLE – 20%

1. 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)
2. Partners with Patient Access team members, Billing office and/or Health Information Management staff, and others for issue identification and resolution. (EF)
3. Assists in identifying trends and opportunities for staff training. Develops training aids as needed. (EF)

SERVICE – 25%

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

QUALITY/SAFETY – 15%

1. 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)
2. Determines the correct action to be taken to ensure the integrity of the data. (EF)
3. Adheres to department standards for productivity, timeliness, and quality. (EF)
4. Compiles, maintains, and reports various patient information as it relates to Quality Assurance. (EF)

FINANCE – 25%

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

GROWTH/INNOVATION – 15%

1. Seeks opportunities to expand learning beyond baseline competencies with a focus on continual development.
2. 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.

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

CERTIFICATIONS, LICENSES AND REGISTRATIONS REQUIRED

o None

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:

Since its founding in 1919, Houston Methodist Hospital has earned worldwide recognition. Houston Methodist Hospital is affiliated with the Weill Medical College of Cornell University and New York-Presbyterian Hospital, one of the nation’s leading centers for medical education and research. In 2022, U.S. News & World Report named Houston Methodist Hospital to its prestigious Honor Roll for the sixth time. Also, in this year’s rankings, Houston Methodist Hospital was named the No. 1 hospital in Texas for the 11th year in a row. Houston Methodist Hospital directs millions of research dollars into patient care and offers the latest innovations in medical, surgical and diagnostic techniques. With 946 operating beds, 85 operating rooms and nearly 8,500 employees, Houston Methodist Hospital offers complete care for patients from around the world.