Patient Access Representative - Admitting

CHRISTUS Health•San Antonio, TX

About The Position

Patient Access Representatives facilitate a welcoming and accessible experience for patients and establish an encounter for patients who meet the guidelines for hospital services. They ensure accurate entry of demographic, financial, guarantor, and other encounter information; verify insurance and authorizations; and collect patient portions, including prior balances. The role contributes to the financial outcomes of patient services and helps ensure compliance with applicable federal, JCAHO, Department of Health, hospital, and other regulatory requirements. Representatives communicate with patients and families, physicians, nurses, insurance companies, and third-party payers. The position requires professional appearance and behavior, strong communication and organizational skills, dependability, flexibility, and teamwork. Multiple shifts are available, and the role is full time.

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, 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.
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 the purpose of hospital documents and obtain 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.
Support department flexibility to accommodate patient volumes, including assignments to other areas and shift changes.
Support department 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 team feedback about educational and mediation needs by reporting issues, problems, and opportunities (IPOs).
Perform assigned responsibilities competently and adapt assessment, treatment, or service methods to members’ physical, psychosocial, cultural, age-specific, and developmental needs.
Ensure compliance with applicable policies, procedures, and standards issued by state and federal agencies, the hospital, and other regulatory entities.
Protect patient confidentiality and access or disclose confidential information only as necessary to perform assigned duties.
Perform other duties as assigned.