Patient Access Representative - Admitting

CHRISTUS Health•San Marcos, TX

2d•Onsite

About The Position

Patient Access Representatives facilitate a welcoming and easy access to the facility and establish an encounter for each patient who meets the guidelines for hospital service. They ensure accurate entry of demographic, financial, guarantor, and other encounter information; verify insurance and authorizations; and collect estimated patient portions and prior balances. The role contributes to the successful financial outcome of patient services and helps maintain compliance with federal regulations, JCAHO, and Department of Health and Hospital standards. The representative communicates directly with patients and families, physicians, nurses, insurance companies, and third-party payers. The position requires a professional appearance and demeanor, strong communication and organizational skills, dependability, flexibility, and teamwork. Work is scheduled for five days of eight hours each, and the role may require assignment to another departmental area or a shift change to accommodate patient volume.

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.

Nice To Haves

High school diploma or equivalent experience.
One to three years of experience.

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 patient demographic, financial, and guarantor information and relevant encounter notes.
Verify insurance eligibility and obtain necessary authorizations for services rendered.
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 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 volumes, including assignment to another departmental area and shift changes when needed.
Support the department in achieving established performance targets.
Complete required training as needed and mandated.
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.
Perform assigned responsibilities competently and adapt assessment, treatment, or service methods to members’ physical, psychosocial, cultural, age-specific, and other developmental needs.
Ensure compliance with 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 for assigned duties.
Perform other duties as assigned.