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 encounters for patients who meet hospital service guidelines. They ensure accurate entry of demographic, financial, guarantor, and other account information; verify insurance; obtain authorizations; and collect patient portions, including prior balances. The role supports successful financial outcomes for patient services and helps ensure compliance with federal regulations, JCAHO, and Department of Health and hospital standards. Representatives communicate with patients and families, physicians, nurses, insurance companies, and third-party payers. The position calls for professional conduct and appearance, strong communication and organizational skills, dependability, flexibility, and teamwork. The work schedule is five days per week, eight hours per day.

Requirements

High school diploma or equivalent experience preferred.
One to three 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 demographic, financial, guarantor, and encounter-note information.
Verify insurance eligibility and obtain necessary service authorizations.
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 staffing needs to accommodate patient volume, including assignment to another area and shift changes as 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 help identify educational and mediation needs by reporting issues, problems, and opportunities (IPOs).
Perform assigned responsibilities in a manner that meets the population-specific and developmental needs of department members served.
Adapt 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 disclose confidential information only when necessary to perform assigned duties.
Perform other duties as assigned.