Patient Access Representative
Company: Christus Health
Location: Corpus Christi
Posted on: October 5, 2024
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Job 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,
and 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 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.
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:
Varies
Work Type:
Per Diem As Needed
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Keywords: Christus Health, Victoria , Patient Access Representative, Other , Corpus Christi, Texas
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