Patient Access Representative - Admitting

CHRISTUS Health • Sulphur Springs, TX

1d

About The Position

Patient Access Representatives facilitate a welcoming, easy-access experience and establish encounters for patients who meet the guidelines for hospital service. They ensure accurate entry of demographic, financial, guarantor, and other account information, verify insurance eligibility, obtain authorizations, and collect estimated patient portions and prior balances. They also perform financial assessments for appropriate assistance programs and help ensure successful financial outcomes for patient services. The role supports compliance with federal regulations, JCAHO, Department of Health requirements, and hospital standards. Patient Access Representatives communicate with patients and families, physicians, nurses, insurance companies, and third-party payers. The position requires professional conduct, effective communication and organization, dependability, flexibility, and teamwork. Multiple shifts are available, and departmental needs may require assignment to another area or a shift change.

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 skills, and effective organizational skills.
• Dependability, flexibility, and teamwork.

Responsibilities

• Meet 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 for appropriate assistance programs.
• 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 assignments to other areas and shift changes as needed.
• Support the department in meeting 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 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 service methods to members’ physical, psychosocial, cultural, age-specific, and developmental needs.
• Ensure compliance with applicable state and federal agency, hospital, and other regulatory policies, procedures, and standards.
• Protect patient confidentiality and disclose confidential information only when necessary to perform assigned duties.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED