Patient Access Representative - Admitting

CHRISTUS Health•Tyler, TX

About The Position

Patient Access Representatives facilitate a welcoming, easy access to the facility and establish encounters for patients who meet hospital service guidelines. They ensure accurate entry of demographic and financial data and follow procedural requirements for data collection, insurance verification, service authorization, and collection of patient portions and prior balances. The role contributes to the successful financial outcome of patient services and supports compliance with federal regulations, JCAHO, and Department of Health and hospital standards. Patient Access Representatives communicate with patients and families, physicians, nurses, insurance companies, and third-party payers. The position requires professional appearance and behavior, good communication and organizational skills, dependability, flexibility, and teamwork. The representative supports registration and scheduling, verifies coverage and authorizations, collects estimated patient payments, assesses eligibility for assistance programs, and obtains required signatures. The role may support multiple hospital areas or shift assignments to accommodate patient volume, and may be required to assist during internal or external disasters. It also includes maintaining standard processes, contributing to efficient workflows and an orderly workplace, completing required training, protecting patient confidentiality, and adapting services to meet the developmental, cultural, psychosocial, and physical needs of patients.

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 and 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 patient demographic, financial, and guarantor information and relevant encounter notes.
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 hospital documents and obtain signatures from patients or legal guardians.
Represent the Patient Access department professionally and courteously.
Assist the hospital in the event of an internal or external disaster.
Support flexible department staffing needs, including assignment to other areas and shift changes, to accommodate patient volume.
Support achievement of established department performance targets.
Complete required and mandated 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 with monitoring workflow and tasks to manage fluctuating volumes.
Provide feedback to help the team identify educational and mediation needs by reporting issues, problems, and opportunities (IPOs).
Perform assigned responsibilities competently while meeting the population-specific and developmental needs of department members served.
Adapt assessment, treatment, and/or service methods to accommodate each member's physical, psychosocial, cultural, age-specific, and other developmental needs.
Ensure compliance with applicable state and federal agency, hospital, and other regulatory policies, procedures, and standards.
Protect patient confidentiality and disclose confidential information only when necessary to perform assigned duties.
Perform other duties as assigned.