This position facilitates access to UTMB services for new and returning patients, coordinates financial arrangements including financial screening and communicates with patients, referral sources, and the treatment team regarding patient access and financial issues. A PRS II is a resource of information for a PRS I.

Required Education / Experience

Associate degree in related or equivalent and 3 years’ experience with billing, financial screening, insurance verification, collections, and/or customer

Essential Job Functions

• Responsible for a higher level of knowledge in patient registration activities of verifying demographic and Third-Party Payer information.
• Perform and teach COR, ED, Admitting Registrations functions as defined in each area’s customized CBO tool.
• Verifies all patient demographic, insurance coverage, benefits, and authorization requirements for all services.
• Screens patient for financial responsibility and possible cash collections.
• Determines potential reimbursement sources available to the patient and directs patient toward financial assistance programs.
• Determines and collects appropriate deposit.
• Facilitation of referrals/prior authorizations.
• Eligibility determination of third-party programs.
• Regularly utilize and perform additional duties acquired through advance training of all area job functions for primary area.
• Serves as information resources for patients, physicians, nurses, and other health care professionals by providing accurate and currently applicable information to accomplish patient satisfaction and maximum reimbursement.
• Individual department specific knowledge and training of ABN and PPA agreement forms
• Meets minimum job performance standards for successful probationary and annual review, or as needed on an individual basis.
• Demonstrate ability to maintain Registration Quality Assurance (Q/A) expectations as defined by specific departmental area as measured monthly and annually on performance review, scoring includes any errors reported via internal and outside sources not included in random Q/A process.
• Errors are to be corrected (or acknowledged) and returned within designated timeframe and will be monitored for excessive delayed response and compliance as monitored continuously and on annual performance review.
• Demonstrate ability to maintain acceptable Productivity Standard as defined by specific departmental area and measured monthly and annually on performance review.
• Reads and applies all announcements and relevant communications related to job duties as observed and monitored by Q/A process.
• Assists in the training and mentoring of new employees.
• Prioritizes and completes all work in an accurate, effective, and efficient manner.
• Participates in team meetings/activities and supports the philosophy and goals of the team, department, and UTMB.
• Look for trends and address, accordingly, bring unresolved issues to team leaders/managers.
• Excellent Customer Service Skills.
• Setting the example of professionalism and exemplifying core values, standards of excellence and appropriate conduct.
• Perform all other duties as assigned.

Marginal or Periodic Job Functions

• Performs related duties as required.

Salary Range

• Actual salary commensurate with experience.

Equal Employment Opportunity

UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities.