Patient Access Representative - Specialty Cardiothoracic Surgery

CHRISTUS Health•Beaumont, TX

20h

About The Position

Patient Access Representatives help patients access the facility and establish encounters for patients eligible for hospital services. They ensure accurate entry of demographic, financial, guarantor, and encounter information; verify insurance and authorizations; and collect estimated patient portions and prior balances. They also conduct financial assessments for assistance programs and obtain required patient or legal guardian signatures. The role supports successful financial outcomes for patient services and helps maintain compliance with federal, JCAHO, Department of Health, hospital, and other applicable standards. The representative communicates with patients and families, physicians, nurses, insurance companies, and third-party payers. The position requires professional conduct, good communication and organizational skills, dependability, flexibility, and teamwork. Staff may be assigned to other departmental areas or shifts to meet patient-volume needs, and must assist the hospital during internal or external disasters. The role also supports departmental performance targets, standard processes, training, workflow coordination, workplace organization using 5S principles, and patient confidentiality.

Requirements

High school diploma or equivalent experience preferred.
1–3 years of experience preferred.
No licenses, registrations, or certifications required.

Responsibilities

Meet expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Accurately enter required scheduling and registration information, including patient demographic, financial, and guarantor information, and 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 program assistance.
Explain 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 assignments to other areas and shift changes.
Support the department in achieving established performance targets and complete required training.
Follow all elements of established standard processes.
Work with HPWT to maintain an efficient, clean, and orderly workplace using 5S principles and practices once implemented in the work unit.
Coordinate, communicate, and assist in monitoring workflow and work tasks to manage fluctuating volumes.
Provide team feedback to help identify educational and mediation needs by reporting IPOs (issues, problems, and opportunities).
Perform assigned responsibilities competently and adapt assessment, treatment, or service methods to the physical, psychosocial, cultural, age-specific, and developmental needs of those served.
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.