Patient Access Representative - Patient Access Center

CHRISTUS Health•Corpus Christi, TX

16h

About The Position

Patient Access Representatives facilitate a welcoming and accessible experience at the facility and establish encounters for patients who meet the guidelines for hospital service. They ensure accurate entry of demographic, financial, guarantor, and other encounter information, and follow procedural requirements for insurance verification, service authorizations, and collection of patient portions and prior balances. The role supports the financial outcome of patient services and helps maintain compliance 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 requires a professional appearance and demeanor, effective communication and organizational skills, dependability, flexibility, and teamwork. Multiple shifts are available; the role is full-time.

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 the expectations of 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.
Support departmental flexibility to accommodate patient volume, including assignment to another department area or a shift change when needed.
Support the department in achieving 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 feedback to the team about educational and mediation needs by reporting issues, problems, and opportunities (IPOs).
Perform assigned responsibilities competently in a manner that meets the population-specific and developmental needs of those served.
Adapt assessment, treatment, and service methods to accommodate each person'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 disclose confidential information only when necessary to perform assigned duties.
Perform other duties as assigned.