Patient Access Representative - Admitting

CHRISTUS Health • San Marcos, TX

1d

About The Position

Patient Access Representatives welcome patients and facilitate access to hospital services by establishing encounters for patients who meet service guidelines. They ensure accurate demographic, financial, and guarantor information; verify insurance and authorizations; and collect estimated patient portions and prior balances. The role supports the successful financial outcome of patient services and helps maintain compliance with federal regulations, JCAHO, Department of Health requirements, and hospital standards. Representatives communicate with patients and families, physicians, nurses, insurance companies, and third-party payers. The position requires a professional manner, strong 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 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 assistance programs.
• Explain hospital documents and obtain the required 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.
• Accommodate departmental patient-volume needs, including assignments in other areas and shift changes.
• 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 workflow and tasks to manage fluctuating volumes.
• Provide feedback to help identify educational and mediation needs by reporting issues, problems, and opportunities.
• Adapt assigned assessment, treatment, and service methods to meet the physical, psychosocial, cultural, age-specific, and developmental needs of people served.
• Comply with applicable 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.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED