Patient Access Representative - Admitting

CHRISTUS Health • Texarkana, TX

1d

About The Position

Patient Access Representatives facilitate a welcoming and easy access to the facility and establish encounters for patients who meet the guidelines for hospital service. They ensure accurate entry of demographic, financial, guarantor, and other encounter information; verify insurance and authorizations; and collect patient portions and prior balances. The role supports successful financial outcomes for patient services and helps ensure compliance with applicable federal, JCAHO, Department of Health, and hospital requirements. Patient Access Representatives communicate with patients and families, physicians, nurses, insurance companies, and third-party payers. The position requires professional appearance and behavior, effective communication and organizational skills, dependability, flexibility, and teamwork. Representatives may be assigned to different areas of the department or shifts to accommodate patient volume, and must assist the hospital during internal or external disasters.

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, effective organizational skills, dependability, flexibility, and teamwork.

Responsibilities

• Meet expectations of 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 details and relevant encounter notes.
• Verify insurance eligibility and obtain necessary service authorizations.
• 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 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 department flexibility needs, including assignments in 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 and maintain team discipline.
• Work with High Performance Work Teams to maintain an efficient, clean, and orderly workplace using 5S principles and practices when implemented in the work unit.
• Coordinate, communicate, and assist in monitoring workflow and work 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 the physical, psychosocial, cultural, age-specific, and developmental needs of patients served.
• Ensure compliance with applicable policies, procedures, and standards from 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.

What This Job Offers

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