Patient Access Representative - Patient Access Center

CHRISTUS Health•Beaumont, TX

About The Position

Patient Access Representatives facilitate a welcoming, easy-access experience and establish encounters for patients who meet the guidelines for hospital services. They accurately enter demographic and financial information, verify insurance eligibility, obtain service authorizations, and collect patient portions, including prior balances. They support the successful financial outcome of patient services and help ensure compliance with applicable federal, JCAHO, Department of Health, and hospital standards. The role communicates with patients and families, physicians, nurses, insurance companies, and third-party payers, and requires professional conduct, effective communication and organization, dependability, flexibility, and teamwork. The representative supports registration and scheduling, financial assessment, document completion, and department performance targets. The role may require assisting in other department areas or changing shifts to meet patient-volume needs, and assisting the hospital during internal or external disasters. The representative also supports training, standard processes, workflow coordination, workplace organization, and team feedback while protecting patient confidentiality and adapting services to patients’ individual developmental, cultural, psychosocial, and physical needs.

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 the 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 program assistance.
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 flexible departmental staffing needs, including assignment to other department areas and shift changes, to accommodate patient volume.
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 work tasks to manage fluctuating volumes.
Provide team feedback to help identify 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 other developmental needs.
Ensure compliance with policies, procedures, and standards promulgated 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.