Patient Access Representative - Admitting

CHRISTUS Health•Longview, TX

22h

About The Position

Patient Access Representatives welcome patients and facilitate access to the facility by establishing encounters for patients who meet the guidelines for hospital service. They ensure accurate entry of demographic, financial, guarantor, and other account information; verify insurance eligibility; obtain required service authorizations; and collect estimated patient portions and prior balances. They also perform financial assessments for assistance programs and help ensure successful financial outcomes for patient services. The role communicates with patients and families, physicians, nurses, insurance companies, and third-party payers. It supports compliance with federal regulations, JCAHO, Department of Health requirements, and hospital standards. Representatives are expected to maintain professional conduct, dependability, flexibility, teamwork, and effective communication and organizational skills. The role may require assisting during internal or external disasters, supporting patient volumes in different hospital areas, and changing shifts to meet department needs.

Requirements

High school diploma or equivalent experience preferred.
One to three years of experience preferred.
No licenses, registrations, or certifications required.

Nice To Haves

High school diploma or equivalent experience.
One to three 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 information, 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 program assistance.
Explain the purpose of 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 department flexibility and patient-volume needs, including assignments to other areas and shift changes.
Support the department in achieving established 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 in monitoring workflow and tasks to manage fluctuating volumes.
Provide feedback to the team by reporting issues, problems, and opportunities to help identify educational and mediation needs.
Perform assigned responsibilities competently in a manner that meets the population-specific and developmental needs of members served.
Adapt assessment, treatment, or service methods to accommodate each member's 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 to perform assigned duties.
Perform other duties as assigned.