Patient Access Representative - Patient Access Center - PRN

CHRISTUS Health • Tyler, TX

3d

About The Position

Patient Access Representatives facilitate a welcoming and easy access to the facility and establish encounters for patients who meet the guidelines for hospital service. They ensure accurate data entry, including demographic and financial information, and meet procedural requirements for data collection, insurance verification, service authorization, and collection of patient portions and prior balances. The role supports the successful financial outcome of patient services and helps maintain compliance with Federal regulations, JCAHO, and Department of Health and Hospital standards.

Patient Access Representatives communicate with patients and families, physicians, nurses, insurance companies, and third-party payers. The position requires professional appearance and behavior, good communication and organizational skills, dependability, flexibility, and teamwork. Representatives may be assigned to other departmental areas or shifts to accommodate patient volume, and must assist the hospital in the event of an internal or external disaster. This is a per diem, as-needed position with multiple shifts available.

Requirements

• High school diploma or equivalent experience preferred.
• 1–3 years of experience preferred.
• No licenses, registrations, or certifications required.
• Professional appearance and behavior, good communication and organizational skills, dependability, flexibility, and teamwork.

Nice To Haves

• High school diploma or equivalent experience.
• 1–3 years of experience.

Responsibilities

• Meet the expectations of applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Accurately enter required scheduling and registration data, including patient demographic, financial, and guarantor information and relevant encounter notes.
• Verify insurance eligibility and obtain necessary authorizations for services.
• Calculate and collect estimated patient portions based on benefits and contract reimbursement, as well as prior balances.
• Perform financial assessments for appropriate assistance programs.
• Explain the purpose of and obtain patient or legal guardian signatures on necessary hospital documents.
• Represent the Patient Access department professionally and courteously at all times.
• Assist the hospital in the event of an internal or external disaster.
• Support departmental staffing needs to accommodate patient volume, including assignments to other areas and shift changes.
• Help the department achieve established performance targets and complete required training.
• Follow all elements of established standard processes.
• Work with High Performance Work Teams to maintain an efficient, clean, and orderly workplace using 5S principles and practices when implemented in the work unit.
• Coordinate, communicate, and assist in monitoring workflow and tasks to manage fluctuating volumes.
• Provide feedback to help identify educational and mediation needs by reporting issues, problems, and opportunities.
• Perform assigned responsibilities competently and adapt assessment, treatment, or service methods to meet members’ physical, psychosocial, cultural, age-specific, and other developmental needs.
• Ensure compliance with policies, procedures, and standards promulgated by state and federal agencies, the hospital, and other regulatory entities.
• Protect patient confidentiality and disclose confidential information only when necessary to perform assigned duties.
• Perform other duties as assigned.

What This Job Offers

• Education Level: High school or GED