Patient Access Representative - Patient Access Center

CHRISTUS Health•Tyler, TX

About The Position

Patient Access Representatives facilitate a welcoming and easy-access experience and establish encounters for patients who meet the guidelines for hospital services. They ensure accurate entry of demographic and financial data and follow procedural requirements for data collection, insurance verification, service authorization, and collection of patient portions and prior balances. The role supports the successful financial outcome of patient services and helps maintain compliance with federal regulations, JCAHO, and Department of Health and hospital standards. Representatives communicate directly with patients and families, physicians, nurses, insurance companies, and third-party payers. The position requires professional appearance and behavior, good communication and organizational skills, dependability, flexibility, and teamwork.

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 and organizational skills, dependability, flexibility, and teamwork.

Nice To Haves

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

Responsibilities

Meet the expectations of 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 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 necessary 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 department needs and patient volume across hospital areas, including assignment to another area or a shift change when needed.
Support the department in meeting established performance targets and complete required 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 in monitoring workflow and tasks to manage fluctuating volumes.
Provide team feedback to help identify educational and mediation needs by reporting issues, problems, and opportunities (IPOs).
Perform assigned responsibilities competently and adapt assessment, treatment, and service methods to members’ physical, psychosocial, cultural, age-specific, and other developmental needs.
Ensure compliance with policies, procedures, and standards established 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.