Patient Access Representative - Primary Academic Medicine

CHRISTUS Health • San Antonio, 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 encounter information; verify insurance and authorizations; and collect patient portions and prior balances. The role supports the successful financial outcome of patient services and helps ensure compliance with federal, JCAHO, Department of Health, and hospital standards. Representatives communicate with patients and families, physicians, nurses, insurance companies, and third-party payers. The position requires professional conduct, effective communication and organization, dependability, flexibility, and teamwork. Representatives may be assigned to different department areas or shifts to meet patient volume, and must assist the hospital in the event of an internal or external disaster.

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 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 program assistance.
• Explain the purpose of hospital documents and obtain required patient or legal guardian signatures.
• Represent the Patient Access department professionally and courteously at all times.
• Assist the hospital in the event of an internal or external disaster.
• Accommodate departmental needs and patient volumes, including assignment to another department area or a shift change.
• Support the department in achieving established performance targets.
• Complete required training and 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 with monitoring workflow and work tasks to manage fluctuating volumes.
• Provide feedback to the team about educational and mediation needs by reporting issues, problems, and opportunities (IPOs).
• Demonstrate competence in assigned responsibilities and adapt assessment, treatment, or service methods to meet members’ physical, psychosocial, cultural, age-specific, and developmental needs.
• Comply with policies, procedures, and standards set 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.

What This Job Offers

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