Patient Access Specialist: Insurance & Billing

CHRISTUS Health; Mount Pleasant (TX); On-site; USD 32,000 - 42,000; Full time

Job summary

CHRISTUS Health in Texas is seeking a Patient Access Representative to facilitate welcoming patient access and establish encounters for hospital services. You will input demographic and financial data, verify insurance, obtain authorizations, and communicate with patients, families, physicians, and payers.

The role emphasizes accuracy, professionalism, and compliance with regulatory standards, with schedules Monday–Friday, 8AM–5PM, and a full-time work type.

Qualifications

• High School Diploma or equivalent preferred.
• 1–3 years of experience preferred.
• Experience with data entry and insurance verification encouraged.

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 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.

Education

High School Diploma or equivalent experience preferred

Job description

CHRISTUS Health in Texas is seeking a Patient Access Representative to facilitate welcoming patient access and establish encounters for hospital services. You will input demographic and financial data, verify insurance, obtain authorizations, and communicate with patients, families, physicians, and payers.

The role emphasizes accuracy, professionalism, and compliance with regulatory standards, with schedules Monday–Friday, 8AM–5PM, and a full-time work type.