Patient Access Representative - Admitting

CHRISTUS Health•Canton, TX

About The Position

Patient Access Representatives welcome patients and facilitate access to the facility by establishing encounters for patients who meet the guidelines for hospital service. They ensure accurate entry of demographic and financial information and follow procedural requirements for data collection, insurance verification, service authorizations, and collection of patient portions and prior balances. The role contributes to successful financial outcomes for patient services and helps the hospital comply with Federal regulations, JCAHO, and Department of Health and Hospital compliance standards. Representatives communicate with patients and families, physicians, nurses, insurance companies, and third-party payers. The position calls for a professional appearance and demeanor, good communication and organizational skills, dependability, flexibility, and teamwork. The representative supports patient access operations across hospital areas, adapting to patient volumes and departmental needs, which may include assignment to another area or a shift change. The role also requires assisting the hospital during internal or external disasters, completing required training, following standard processes, and protecting patient confidentiality.

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.

Nice To Haves

High school diploma or equivalent experience preferred.
1–3 years of experience preferred.

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 rendered.
Calculate and collect estimated patient portions based on benefits and contract reimbursement, as well as prior balances.
Perform financial assessments for appropriate program assistance.
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 during internal or external disasters.
Support departmental flexibility to accommodate patient volume, including assignment to other areas and shift changes as needed.
Support the department in achieving established performance targets and complete required training.
Follow all elements of established standard processes.
Work with HPWT (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 work tasks to manage fluctuating volumes.
Provide feedback to the team about educational and mediation needs by reporting IPOs (issues, problems, and opportunities).
Perform assigned responsibilities competently and adapt service methods to members’ physical, psychosocial, cultural, age-specific, and other developmental needs.
Ensure compliance with policies, procedures, and standards promulgated 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.