Patient Access Representative - Admitting

CHRISTUS Health • Alamogordo, NM

1d

About The Position

Patient Access Representatives welcome patients and facilitate access to hospital services by establishing encounters for patients who meet service guidelines. They accurately enter demographic, financial, guarantor, and encounter information; verify insurance and authorizations; and collect estimated patient portions and prior balances. They also assess eligibility for financial assistance and obtain required patient or legal guardian signatures.

The role communicates with patients and families, physicians, nurses, insurers, and third-party payers. Patient Access Representatives help ensure compliance with federal regulations and applicable accreditation, health department, hospital, and other regulatory standards while protecting patient confidentiality. The position requires professional conduct, effective communication and organizational skills, dependability, flexibility, and teamwork. Representatives may support different department areas or shifts to address patient volume 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.
• Professional appearance and behavior, good communication skills, 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 information, 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 hospital documents and obtain required signatures from patients or legal guardians.
• Represent the Patient Access department professionally and courteously.
• Assist the hospital in the event of an internal or external disaster.
• Support departmental staffing needs, including assignments to other areas and shift changes, to accommodate patient volume.
• Support the department in achieving established performance targets and complete required training.
• Follow established standard processes.
• Work with High Performance Work Teams to maintain an efficient, clean, and orderly workplace using 5S principles and practices once implemented.
• Coordinate, communicate, and help monitor workflows and tasks in response to fluctuating volumes.
• Provide feedback to help identify educational and mediation needs by reporting issues, problems, and opportunities.
• Perform assigned responsibilities in a manner that meets the population-specific and developmental needs of those served, adapting service methods to individual needs.
• Comply with policies, procedures, and standards established by state and federal agencies, the hospital, and other regulatory entities.
• Protect patient confidentiality and access or disclose confidential information only as necessary to perform assigned duties.
• Perform other duties as assigned.

What This Job Offers

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