Patient Access Representative - Admitting

About the role

CHRISTUS Santa Rosa Hospital – San Marcos, which originated in 1923 as Hays County Soldiers, Sailors and Marines Memorial Hospital, opened at its current Wonder World Drive location in 1983. Our staff of more than 700 Associates works with more than 300 active and consulting physicians to provide quality services to patients and their families.

For more than 20 consecutive years, we have been named The Best Hospital in Hays County in the annual "Best of Hays" publication released by the San Marcos Daily Record. In addition to interventional cardiac services, CHRISTUS Santa Rosa Hospital – San Marcos is a Certified Chest Pain Center and an accredited Primary Stroke Center.

We lead the region in da Vinci robotic-assisted surgery and offers a variety of specialty care services including medical imaging, rehabilitation, hospice, women’s services and more.

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.
• 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

Requirements

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.