Patient Access Representative

Sigma Systems, Inc.; Irving (TX); On-site; USD 40,000 - 52,000; Full time

Job summary

Sigma Inc in Irving, TX is hiring a Patient Access Representative for a 12 Weeks Temp to Permanent on-site role. Responsibilities include scheduling, registration, data entry, and insurance verification to facilitate patient encounters and financial outcomes.

The position requires high school diploma and 1–3 years of experience, with professional appearance and strong communication. Shift is Monday–Friday, onsite in Irving.

Qualifications

• High school diploma or equivalent required.
• 1 – 3 years of experience preferred.

Responsibilities

• Meets expectations of OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Accurately inputs all required data elements for scheduling and registration.
• Verifies insurance eligibility and obtains necessary authorizations for services.
• Calculates and collects the estimated patient portion based on benefits and contract reimbursement as well as prior balances.
• Performs financial assessment for appropriate program assistance.
• Communicates the purpose of and obtains patient signatures on all necessary hospital documents.
• Represents the Patient Access department in a professional manner at ALL times.
• Supports the department in achieving established performance targets.
• Completes required training as needed and as mandated.

Job description

9207105 Patient Access Representative, Irving , TX, 12 Weeks Temp to Permanent

Sigma Inc is currently looking for a Patient Access Representative to work onsite with our team in Irving , TX.

Shift Schedule:

Monday- Friday

Summary:

• Patient Access representatives facilitate a welcome and easy access to the facility and are responsible for establishing an encounter for any patient who meets the guidelines for hospital service.
• Patient Access staff ensures that all data entry is accurate including demographic and financial information for each account.
• Patient Access has numerous procedural requirements including data elements, insurance verification, authorization for services, and collections for all patient portions including prior balances.
• Patient Access staff is responsible for the successful financial outcome of all patient services.
• Patient Access communicates directly with patients and families, physicians, nurses, insurance companies and third-party payers.
• This position requires professional appearance, behavior, and good communication skills.
• Patient Access representatives require dependability, flexibility, and teamwork.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Accurately inputs all required data elements for scheduling and registration, including patient demographic, financial information, guarantor information, and relevant notes associated with the encounter.
• Verifies insurance eligibility and obtains necessary authorizations for services rendered.
• Calculates and collects the estimated patient portion based on benefits and contract reimbursement as well as prior balances.
• Performs financial assessment for appropriate program assistance.
• Communicates the purpose of and obtains patient/legal Client signatures on all necessary hospital documents.
• Represents the Patient Access department in a professional, courteous manner at ALL times.
• Required to assist the hospital in the event of an internal or external disaster.
• Supports the flexible needs of the department to accommodate patient volume in all areas of the hospital. This may require assignment to another area of the department, and shift change.
• Supports the department in achieving established performance targets.
• Completes required training as needed and as mandated.
• Maintains the team discipline of following all elements of established standard processes
• Works with HPWT (High-Performance Work Teams) to maintain an efficient, clean, and orderly workplace using 5S principles and practices once implemented in the work unit.
• Coordinates, communicates, and assists in monitoring workflow and work tasks necessary to manage fluctuating volumes.
• Provides feedback to the team to help identify educational needs, and mediation needs by reporting IPOs (issues, problems, and opportunities).
• Demonstrates competence to perform assigned responsibilities is a manner that meets the population-specific and developmental needs of the members served by the department.
• Appropriately adapts assigned assessment, treatment, and/or service methods to accommodate the unique physical, psychosocial, cultural, age-specific and other developmental needs of each member served.
• Takes personal responsibility to ensure compliance with all policies, procedures and standards as promulgated by state and federal agencies, the hospital, and other regulatory entities.
• Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties.
• Performs other duties as assigned.

Requirements:

• High school diploma or equivalent required.
• 1 – 3 years of experience preferred