Patient Access Representative - Admitting

CHRISTUS Health•Sulphur Springs, TX

About The Position

Patient Access Representatives facilitate a welcoming and easy access to the facility and establish an encounter for patients who meet the guidelines for hospital service. They ensure accurate entry of demographic and financial information and follow procedural requirements for data elements, insurance verification, service authorization, and collection of patient portions, including prior balances. The role supports the successful financial outcome of patient services and helps ensure hospital compliance with Federal regulations, JCAHO, and Department of Health and Hospital compliance standards. 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. The representative supports department workflows and performance targets, completes required training, follows established processes, and helps maintain an efficient and orderly workplace. The position may require reassignment to another department area or a shift change to accommodate patient volume. The representative is also required to 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, and 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 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 and obtain patient or legal guardian signatures on necessary hospital documents.
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 volume, including assignment to another department area and shift changes.
Support the department in achieving established performance targets.
Complete required training as needed and as mandated.
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 needed to manage fluctuating volumes.
Provide feedback to the team to help identify educational and mediation needs by reporting IPOs (issues, problems, and opportunities).
Demonstrate competence in assigned responsibilities while meeting the population-specific and developmental needs of department members served.
Adapt assigned assessment, treatment, or service methods to accommodate each member's 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 avoid soliciting or disclosing confidential information unless necessary to perform assigned duties.
Perform other duties as assigned.