Patient Access Representative - Admitting

CHRISTUS Health•New Braunfels, TX

22h

About The Position

Patient Access Representatives help patients access the facility and establish encounters for patients receiving hospital services. They ensure accurate entry of demographic, financial, guarantor, and encounter information; verify insurance eligibility; obtain authorizations; and calculate 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 communicates with patients and families, physicians, nurses, insurers, and third-party payers. Representatives support compliance with federal, JCAHO, Department of Health, hospital, and other regulatory standards; protect patient confidentiality; and maintain a professional, courteous manner. The position requires dependability, flexibility, teamwork, effective communication, and organization. Representatives may assist in other hospital areas or change shifts to meet patient volume, and may be required to assist 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.

Nice To Haves

High school diploma or equivalent experience.
One to three years of experience.

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 demographic, financial, guarantor, and encounter-note information.
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 patient or legal guardian signatures.
Represent the Patient Access department professionally and courteously.
Assist the hospital during internal or external disasters when required.
Support flexible departmental staffing needs, including assignments to other areas and shift changes, to accommodate patient volume.
Support the department in meeting established performance targets.
Complete required and mandated 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 with monitoring workflow and tasks to manage fluctuating volumes.
Provide feedback to the team by reporting issues, problems, and opportunities to help identify educational and mediation needs.
Perform assigned responsibilities competently and adapt assessment, treatment, or service methods to meet members' physical, psychosocial, cultural, age-specific, and other 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.