Patient Access Representative - Admitting

CHRISTUS Health • Mount Pleasant, TX

1d

About The Position

Patient Access Representatives facilitate a welcoming and easy-to-access experience and establish an encounter for patients who meet the guidelines for hospital service. They ensure accurate entry of demographic and financial information and follow procedural requirements for data collection, insurance verification, service authorization, and collection of patient portions, including prior balances. The role supports successful financial outcomes for patient services and helps the hospital maintain compliance with Federal regulations, JCAHO, and Department of Health and Hospital compliance standards. Patient Access Representatives communicate with patients and families, physicians, nurses, insurance companies, and third-party payers. The position requires a professional appearance and behavior, good communication and organizational skills, dependability, flexibility, and teamwork.

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.

Responsibilities

• Accurately enter required scheduling and registration data, including demographic, financial, and guarantor information and relevant encounter notes.
• Verify insurance eligibility and obtain required 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 program assistance.
• Explain the purpose of hospital documents and obtain necessary patient or legal guardian signatures.
• Represent the Patient Access department professionally and courteously.
• Assist the hospital during internal or external disasters.
• Accommodate departmental needs as patient volumes change, including assignment to other areas and shift changes.
• Support the department in meeting performance targets and complete required training.
• Follow established standard processes and contribute to efficient, clean, and orderly work practices using 5S principles and practices once 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 members’ physical, psychosocial, cultural, age-specific, and developmental needs.
• Comply with policies, procedures, and standards established by state and federal agencies, the hospital, and other regulatory entities.
• Protect patient confidentiality and disclose confidential information only as necessary to perform assigned duties.
• Perform other duties as assigned.

What This Job Offers

• Education Level: High school or GED