Patient Access Representative - Admitting

CHRISTUS Health • San Marcos, 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 other account information; verify insurance and authorizations; and help ensure successful financial outcomes for patient services through financial assessments and collection of patient portions and prior balances. The role supports compliance with Federal regulations, JCAHO, Department of Health requirements, and other applicable standards. It involves direct communication with patients and families, physicians, nurses, insurance companies, and third-party payers, and requires professional conduct, effective communication and organizational skills, dependability, flexibility, and teamwork.

The representative may support patient access functions across hospital areas as needed to accommodate volume, including changes in assignment or shift. The role also assists the hospital during internal or external disasters, supports departmental performance targets and training, follows established processes, and contributes to efficient and orderly workflows. The position is per diem, as needed.

Requirements

• High school diploma or equivalent experience preferred.
• 1–3 years of experience preferred.
• No license, registration, or certification required.

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 demographic, financial, guarantor, and encounter-note information.
• Verify insurance eligibility and obtain required service authorizations.
• 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 necessary patient or legal guardian signatures.
• Represent the Patient Access department professionally and courteously.
• Assist the hospital in the event of an internal or external disaster.
• Support departmental flexibility to accommodate patient volume, including assignment to other areas and shift changes as needed.
• Support the department in achieving established performance targets and complete required training.
• 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 in monitoring workflows and tasks to manage fluctuating volumes.
• Provide team feedback to identify educational and mediation needs by reporting issues, problems, and opportunities.
• Perform assigned responsibilities competently and adapt assessment, treatment, or service methods to members’ physical, psychosocial, cultural, age-specific, and developmental needs.
• Ensure compliance with policies, procedures, and standards issued 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

• Career Level: Entry Level
• Education Level: High school or GED