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Patient Access Representative

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Job Description - Patient Access Representative

9148129 Patient Access Representative, Jasper, TX, 12 Weeks Temp to Permanent
Sigma Inc is currently looking for a Patient Access Representative to work onsite with our team in Jasper, TX.

Shift Schedule: Monday- Friday 8hr days Working 8-hour shifts between the hours of 7pm- 7am.

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 communicates directly with patients and families, physicians, nurses, insurance companies and third-party payers.
  • This position requires professional appearance, behavior, and good communication 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 Client 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 workflow 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.

Requirements:

  • High school diploma or equivalent required.
  • 1 – 3 years of experience preferred
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