Patient Access Representative - Admitting

CHRISTUS Health•New Braunfels, TX

2d•Onsite

About The Position

Patient Access Representatives help patients access hospital services and establish an encounter for each patient who meets the hospital’s service guidelines. They ensure accurate entry of demographic, financial, guarantor, and other encounter information, verify insurance eligibility, obtain service authorizations, and collect estimated patient portions and prior balances. They may also assess eligibility for financial assistance 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. Representatives are expected to maintain a professional and courteous manner, support the department’s performance targets and standard processes, and help coordinate workflow as patient volumes change. They may be assigned to other department areas or shifts to meet operational needs and are required to assist during internal or external disasters. The position also requires compliance with applicable regulations and hospital policies, protection of patient confidentiality, and completion of required training.

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

Accurately enter required scheduling and registration information, including demographic, financial, guarantor, and encounter-note details.
Verify insurance eligibility and obtain required 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 legal guardians.
Represent Patient Access professionally and courteously.
Assist the hospital during internal or external disasters.
Support department needs by working in other areas or shifts as needed to accommodate patient volume.
Support the department in achieving established performance targets and follow standard processes.
Complete required and mandated training.
Help maintain an efficient, clean, and orderly workplace using 5S principles and practices once implemented in the work unit.
Coordinate, communicate, and assist with monitoring workflow and tasks to manage fluctuating volumes.
Provide feedback to help identify educational and mediation needs by reporting issues, problems, and opportunities.
Adapt assessment, treatment, or service methods to meet members’ physical, psychosocial, cultural, age-specific, and developmental needs.
Comply with applicable state and federal requirements, hospital policies, procedures, and standards.
Protect patient confidentiality and disclose confidential information only as necessary to perform assigned duties.
Perform other duties as assigned.