Patient Access Representative - Patient Access Center

CHRISTUS Health•Tyler, 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 accurately enter patient demographic, financial, guarantor, and encounter information; verify insurance eligibility; obtain service authorizations; and calculate and collect estimated patient portions and prior balances. They may also perform financial assessments for assistance programs and obtain required patient or legal guardian signatures on hospital documents. The role communicates with patients and families, physicians, nurses, insurance companies, and third-party payers, and represents the Patient Access department professionally and courteously. Representatives support department performance targets, adapt to fluctuating patient volumes and changing assignments or shifts, assist during internal or external disasters, complete required training, and follow established standard processes. They contribute to an efficient, clean, and orderly workplace using 5S principles, help coordinate workflow, and provide feedback about educational and mediation needs. The position requires dependability, flexibility, teamwork, effective communication and organization, and compliance with applicable policies, regulations, and confidentiality standards. Representatives adapt services to the physical, psychosocial, cultural, age-specific, and developmental needs of patients. Other duties may be assigned.

Requirements

High school diploma or equivalent experience preferred.
1–3 years of experience preferred.
Professional appearance and behavior, good communication skills, and effective organizational skills.
Dependability, flexibility, and teamwork.
No licenses, registrations, or certifications required.

Nice To Haves

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

Responsibilities

Accurately enter required scheduling and registration data, including patient demographic, financial, guarantor, and encounter 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 signatures from patients or their legal guardians.
Represent the Patient Access department professionally and courteously.
Assist the hospital in the event of an internal or external disaster.
Support department flexibility by accommodating patient volume across hospital areas, including reassignment and shift changes as needed.
Support established department performance targets and complete required training.
Follow established standard processes and contribute to team discipline.
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 help identify educational and mediation needs by reporting issues, problems, and opportunities.
Adapt assigned assessment, treatment, or service methods to patients' physical, psychosocial, cultural, age-specific, and developmental needs.
Comply with applicable state and federal agency, hospital, and other regulatory policies, procedures, and standards.
Protect patient confidentiality and disclose confidential information only when necessary for assigned duties.
Perform other duties as assigned.