Patient Access Representative - Admitting

CHRISTUS Health•Mamou, LA

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 data entry, including demographic and financial information, and complete procedural requirements such as insurance verification, authorizations, and collections for patient portions and prior balances. The role supports the successful financial outcome of patient services and helps ensure compliance with Federal regulations, JCAHO, and Department of Health and Hospital standards. Representatives communicate directly with patients and families, physicians, nurses, insurance companies, and third-party payers. The position requires 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

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 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 assistance programs.
Explain the purpose of hospital documents and obtain patient or legal guardian signatures as needed.
Represent the Patient Access department professionally and courteously at all times.
Assist the hospital in the event of an internal or external disaster.
Support flexible departmental needs to accommodate patient volumes, including assignment to other areas and shift changes.
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 in the work unit.
Coordinate, communicate, and assist in monitoring workflow and tasks to manage fluctuating volumes.
Provide feedback to the team about educational and mediation needs by reporting issues, problems, and opportunities.
Perform assigned responsibilities competently and adapt services to meet members’ physical, psychosocial, cultural, age-specific, and other developmental needs.
Ensure compliance with applicable policies, procedures, and standards established 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.