Patient Access Representative - Admitting

CHRISTUS Health•Beaumont, TX

About The Position

Patient Access Representatives welcome patients and facilitate access to hospital services by establishing encounters for patients who meet service guidelines. They ensure accurate entry of demographic, financial, guarantor, and other account information; verify insurance and authorizations; and collect patient financial responsibility. The role supports successful financial outcomes while helping the hospital comply with Federal regulations, JCAHO, and Department of Health and Hospital standards. The representative communicates with patients and families, physicians, nurses, insurance companies, and third-party payers. The position calls for professional conduct and appearance, effective communication and organization, dependability, flexibility, and teamwork. Representatives may be assigned to other areas of the department or have their shift changed to meet patient-volume needs, and must assist the hospital during internal or external disasters.

Requirements

High school diploma or equivalent experience preferred.
One to three years of experience preferred.
No licenses, registrations, or certifications required.

Nice To Haves

High school diploma or equivalent experience.
One to three years of experience.

Responsibilities

Meet the expectations of the 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 to determine appropriate program assistance.
Explain the purpose of hospital documents and obtain required patient or legal guardian signatures.
Represent the Patient Access department professionally and courteously.
Assist the hospital in the event of an internal or external disaster.
Support departmental flexibility to accommodate patient volume, including assignment to another department area or a shift change.
Support achievement of 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 once implemented in the work unit.
Coordinate, communicate, and help monitor workflow and tasks to manage fluctuating volumes.
Provide feedback to the team about educational and mediation needs by reporting issues, problems, and opportunities.
Perform assigned responsibilities competently and adapt assessment, treatment, or service methods to members’ physical, psychosocial, cultural, age-specific, and other developmental needs.
Comply with policies, procedures, and standards issued 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.