Patient Access Representative - Pre Arrival

CHRISTUS Health; San Antonio (TX); On-site; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a dedicated Patient Access Representative to ensure a seamless experience for patients accessing healthcare services. In this role, you will be responsible for accurate data entry, insurance verification, and effective communication with patients and healthcare providers. This position requires strong organizational skills and the ability to work collaboratively within a team. If you are dependable, flexible, and passionate about providing excellent service in a healthcare environment, this opportunity is perfect for you. Join a supportive team that values your contributions and helps you grow in your career.

Qualifications

• High School Diploma or equivalent experience is required.
• 1-3 years of experience preferred in a similar role.

Responsibilities

• Accurately inputs patient data and verifies insurance eligibility.
• Communicates with patients and assists in financial assessments.
• Maintains compliance with regulations and hospital standards.

Skills

Communication Skills

Organizational Skills

Teamwork

Dependability

Flexibility

Education

High School Diploma or equivalent

Job description

Description

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 is responsible for ensuring the hospital maintains compliance with Federal regulations, JCAHO, and Department of Health and Hospital compliance standards. Patient Access communicates directly with patients and families, physicians, nurses, insurance companies and third party payers. This position requires professional appearance, behavior, good communication skills and effective organizational 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 guardian 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 work flow 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 in 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.

Job Requirements:

Education/Skills

• High School Diploma or equivalent years of experience required.

Experience

• 1 - 3 years of experience preferred.

Licenses, Registrations, or Certifications

• None required.

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time