RR I: 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, good communication skills and effective organizational skills. Patient Access representatives require dependability, flexibility, and teamwork.
This level is designed to demonstrate knowledge and competency of Patient Access duties in the area which the associate was hired into. Expected competency to use good judgment in making independent decisions to resolve customer issues in all routine operations.
EDUCATION: High school graduate
CERTIFICATION/LICENSES: Medical Terminology Certification required or must obtain within the first year of employment.
Comfortable using a computer, basic typewriting and computer skills (data entry or word processing)
Experience with excel, email and online insurance verification.
Self-motivated and self-directed, dependable, strong organizational skills, excellent customer service skills, strong problem-solving skills.
Knowledge of health insurance and managed care concepts and requirements.
EXPERIENCE: One to three years of general or medical office experience or completion of a medical office program within the last two years. One to two years of health insurance experience.
NATURE OF SUPERVISION:
-Responsible to: Patient Access Manager
- Bloodborne pathogen - B
General office environment, frequent contact with patients, VDT exposure.
PHYSICAL REQUIREMENTS: Long periods of sitting at times, great deal of walking, transporting patients to their rooms including pushing and pulling. Keyboard usage with sound ergonomic principles. Must be flexible in work schedule.
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.