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 experience preferred
Experience
* 1 - 3 years of experience preferred
Licenses, Registrations, or Certifications
* None required
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Full Time
$30k-34k yearly est. 1d ago
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Patient Access Representative Senior - Patient Access Center
Christus Health 4.6
Insurance clerk job at CHRISTUS Health
The Patient Access Representative Senior performs duties relating to financial aspects of patient care, including financial counseling, billing and collection of accounts. Additionally, the job duties will include ensuring the hospital maintains compliance with Federal regulations, JCAHO, and Department of Health and Hospital compliance standards, along with communicating directly with patients and families, physicians, nurses, insurance companies and third party payers. The Patient Access Representative Senior also handles difficult patient account management issues escalated by other staff, and assists managers with various other duties as necessary.
Responsibilities:
* Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
* Submits insurance claims to third party payors electronically and on paper. Follows up on unpaid third party claims to resolution (payment or denial).
* Evaluates and processes accounts for adjustments, charity, outside assistance or bad debt. Analyzes accounts to ensure full reimbursement and to satisfy patient and/or insurance company inquiries.
* Collects balances due from patients using phone calls, personal contact, statements, letters or third party services.
* Receives, processes and responds to correspondence or phone inquiries from patients, guarantors, insurance companies, attorneys, etc.
* Compiles data, tracks results and reports to management.
* May be assigned specialty responsibilities in the areas of refunds, reconciliation, balancing and/or posting and in data collection and analysis.
* Handles difficult patient account management issues referred by other staff.
* Supports the department in achieving established performance targets.
* 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.
* Assists managers with various duties including, but not limited to, review of write-offs, adjustments, refunds and discounts; coordinating work group activities; and training of other staff.
Job Requirements:
Education/Skills
* High School Diploma or equivalent experience preferred
Experience
* 3-5 years of experience preferred
Licenses, Registrations, or Certifications
* None required
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
$30k-34k yearly est. 13d ago
Scheduler Coord
Dignity Health 4.6
The Woodlands, TX jobs
Where You'll Work
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Job Summary and Responsibilities
Coordinates provider schedules, which includes updating the cardiology dashboards for time off and outreach rotations, to ensure appropriate coverage for all locations. Updates and maintains provider scheduling software data extraction and reporting. Coordinates schedules for all advanced practice clinicians, physicians, and RN cardiology consultants.
Coordinates the provider's schedules and reschedules patient appointments accordingly; Scheduling includes coordinating time off and outreach rotations to ensure there is appropriate coverage for all locations. Records physician vacation and forwards information to provider affairs office.
Consults with the Mid-level providers and RNs to coordinate the work schedules of ancillary staff to ensure proper staffing at each location.
Generates reports for approving time off for providers and RNs.
Troubleshoots and corrects daily routine problems related to the provider scheduling system, and works collaboratively with IT as needed to fix non-routine problems.
Updates and maintains the provider's schedules in practice management software and runs customized reports from the software.
Coordinates with the provider's scheduling vendor on requests for software updates.
Updates and maintains the recall database and the provider's schedule in the practice management software.
Tracks proxy RVUs for provider compensation along with generating reports for clinic volumes for new and established patients.
Job Requirements
Education & Experience
High School Diploma/GED
Minimum 1-2 years of experience using related scheduling software systems
Not ready to apply, or can't find a relevant opportunity?
Join one of our Talent Communities to learn more about a career at CommonSpirit Health and experience #humankindness.
We are searching for a Patient Access Rep. Someone who will ensure timely and accurate patient registration by serving as the liaison between patient/family, payers, Healthcare Information Management (Medical Records), Patient Financial Services (PFS or Business Services) and other health care team members. While utilizing a unique medical record number, the Patient Access Representative will facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, financially securing, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement. Maintain compliance with EMTALA, The Joint Commission, and all other hospital and government regulations applicable to the Admissions setting. Identify non-resource patients for possible eligibility for government resources and/or the Hospital's charity program and refer these patients to a financial counselor.
Think you've got what it takes?
Qualifications:
H.S. Diploma required
6 months experience as an admissions representative/counselor performing all aspects of the registration process preferred.
Associate or bachelor's degree may be substituted for the experience
Responsibilities:
Obtains, verifies, and enters complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle.
Thoroughly searches the patient accounting system for an existing medical record on each visit. Uses appropriate search techniques to ensure that no duplicate medical records are created in the master patient index.
Accurately enters complete demographic information into the system. Verified information should include correct spelling of patient name, date of birth, gender, address, phone number, guarantor data, etc. Patient names should follow hospital protocol regarding middle names, suffixes, etc.
Ensures assigned DARs and/or work queues are monitored and worked on a daily basis, ensuring that all elements of the accounts are secured for billing. Responsibility
Financially secures all patient accounts to maximize hospital reimbursement in a customer service oriented fashion.
Verifies insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into EPIC. Enters patient estimates in estimating software if required.
Obtains insurance referrals, as required by individual insurance plans, documenting referral numbers in the appropriate fields for accurate billing. Documents whether authorization is require and involves Authorization Specialist when needed for clinical authorizations.
Provides estimates of patient liability to patient/guarantor prior to visit as part of financially securing the account. Involves financial counseling department for self pay accounts requiring assistance with funding.
To provide the highest possible customer service, patients are pre-registered 2-10 working days in advance of appointment/admission.
Registers unscheduled patients as soon as notified, obtaining insurance benefits and referrals/authorizations prior to providing services or prior to discharge.
Obtains clinical and financial authorization as required by contract for services.
For patients who are admitted as inpatient from outpatient areas: verifies inpatient benefits, notifies bed control, and begins the pre-certification process
$29k-33k yearly est. Auto-Apply 18d ago
Patient Access Rep II
Dignity Health 4.6
College Station, TX jobs
Where You'll Work
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Job Summary and Responsibilities
This position is responsible for identifying and collecting patient financial obligation for the duration of stay as well as verifying the eligibility/benefits information for the patient's visit. This position will also determine eligibility for the hospital's various financial assistance programs.
Performs collection functions and financial assistance for payment methods
Conducts interviews with patients and/or family members
Collect and/or negotiate point of service payments or link to financial assistance programs
Must be capable of articulating information in a courteous, clear and informative manner to patients, guarantors, family members, clinical staff, other hospital personnel, vendors, physicians, and their office staff
Convey estimates of the patient responsibility portion of the billed cost of service to patients under deductible, coinsurance, and standard co‐pay benefit designs based on established charge estimates for common procedures
Counsels patients regarding their third‐party coverage, financial responsibility, and billing procedures
Review patient account summaries of unbilled charges, billing, payments, and collection activities
Obtain all forms required for patients potentially qualifying for financial assistance
Review and monitor accounts for inpatients and initiate proper action
Ensures payors are listed accurately, pertaining to primary, secondary, and/or tertiary coverage and billing when a patient has multiple third party/governmental payors listed on an account.
Process patient accounts and deploy established policies to resolve insurance issues with patient accounts with/without supervision i.e. conference calls with employer, payor and physician office staff
Initiate pre‐cert for in‐house patients when required, obtaining pre‐certification reference number, approved length of stay, and utilization review company contact person and telephone number
Job Requirements
Education & Experience
High School Diploma/GED
One (1) years of experience preferred
Not ready to apply, or can't find a relevant opportunity?
Join one of our Talent Communities to learn more about a career at CommonSpirit Health and experience #humankindness.
$30k-35k yearly est. Auto-Apply 13d ago
Patient Access Rep II
Dignity Health 4.6
Bryan, TX jobs
Where You'll Work
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Job Summary and Responsibilities
Responsible for greeting patients, communicating with departments, scheduling appointments, answering phones, receiving payments, verifying necessary information and records in the medical record. Provides information to patients so they may fully utilize and benefit from the clinic services.
Greets patients in polite, prompt, helpful manner and provides any necessary instructions/directions. Informs appropriate department of patient`s arrival. Oversees waiting area. Organizes patient flow.
Answers phone in pleasant manner and deals with patient needs expeditiously.
Uses EMR to generate information necessary for billing. Verifies and updates patient information. Collects copay. Obtains patient signatures as needed. Completes necessary paperwork and issues receipts. Collects and enters patient's insurance information into data base. Responsible for managing, directing, and monitoring coding activities on all services including distributing the daily charge tickets to the billing company.
Obtains referral information. Schedules surgeries, outpatient appointments and admissions.
Sends/receives patient`s medical records. Assembles patient's charts for next day visits. Responsible for planning, organizing and directing all aspects of the medical records.
Responsible for assisting physician with clerical tasks. Coordinates service requests. Maintains clinic office and equipment. Informs the administrator of operational problems. Responsible for mail room functions including sorting and distribution of mail. Orders and inventories supplies.
Assists with training and supervision of staff, helping them develop performance goals and objectives.
Responsible for assisting patients with questions on insurance claims, home healthcare, and medical equipment. Responsible for administering, directing, planning, and coordinating all office activities. Provides information to patients so they may fully use and benefit from clinic/office services.
Job Requirements
Education
Required: High school graduate
Experience
Minimum 1 year clinic experience preferred
Skills
Required: Computer programs/EMR
Not ready to apply, or can't find a relevant opportunity?
Join one of our Talent Communities to learn more about a career at CommonSpirit Health and experience #humankindness.
$30k-35k yearly est. Auto-Apply 13d ago
Patient Access Rep II
Dignity Health 4.6
Bryan, TX jobs
Where You'll Work
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Job Summary and Responsibilities
As a Patient Access Representative, you will manage administrative duties for the patient intake process in our clinic, adhering to established guidelines.
Every day you will interact with patients in person and by phone, facilitating check-in/out, collecting data and payments, validating insurance, scheduling appointments, and processing referrals and authorizations.
To be successful, you will demonstrate critical thinking, strong customer service, and knowledge of insurance, billing, and medical terminology, ensuring a seamless, high-quality patient intake experience.
Performs collection functions and financial assistance for payment methods
Conducts interviews with patients and/or family members
Collect and/or negotiate point of service payments or link to financial assistance programs
Must be capable of articulating information in a courteous, clear and informative manner to patients, guarantors, family members, clinical staff, other hospital personnel, vendors, physicians, and their office staff
Convey estimates of the patient responsibility portion of the billed cost of service to patients under deductible, coinsurance, and standard co‐pay benefit designs based on established charge estimates for common procedures
Counsels patients regarding their third‐party coverage, financial responsibility, and billing procedures
Job Requirements
Required
High School Graduate, upon hire or
High School GED, upon hire and
Preferred
One (1) years of experience, upon hire preferred
Not ready to apply, or can't find a relevant opportunity?
Join one of our Talent Communities to learn more about a career at CommonSpirit Health and experience #humankindness.
$30k-35k yearly est. Auto-Apply 13d ago
Front Office Specialist II - TCUC Fairfield
Texas Children's Medical Center 4.5
Houston, TX jobs
We are searching for a Front Office Specialist II Urgent Care at the Vintage location - someone who works well in a fast-paced setting. In this position, you will be responsible for both clinical and non-clinical duties. Gathers information, assesses, and provides direct care to patients. Works collaboratively with other members of the healthcare team to render population appropriate care for low-acuity pediatric patients.
Think you've got what it takes?
Job Duties & Responsibilities
Assists with the collection of patient/family data.
Assists in the collection of patient/family data that may include biophysical, psychosocial, developmental, cultural, and environmental information per site protocol.
Collects and documents vital signs, height/weight, and reason for visit.
Graphs data per site protocol.
Documents current medications, allergies, and other information per site protocol with 100% accuracy.
Uses scripting where appropriate.
Adheres to standards of behavior.
Coordinates referrals, ensuring that the family has contact information for referral and any necessary documentation needed for the referral.
Provides general patient care.
Administers medication and immunizations.
Collects Specimens and Performs Laboratory Test.
Provides operational support, performs reception duties & screens phone calls.
Reviews billing information & Process patient payments.
Maintains integrity of medical record and monitors patient information and other practice data.
As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards.
As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards.
Skills & Requirements
Required H.S. Diploma or equivalent.
Preferred Graduation from a medical assisting or emergency medical technician program.
Required BLS - Cert-Basic Life Support by the American Heart Association
2 years related experience
$29k-34k yearly est. Auto-Apply 60d+ ago
Patient Access Representative-Patient Access Center Tyler
Christus Health 4.6
Insurance clerk job at CHRISTUS Health
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 experience preferred
Experience
* 1 - 3 years of experience preferred
Licenses, Registrations, or Certifications
* None required
Work Schedule:
PRN
Work Type:
Per Diem As Needed
$30k-34k yearly est. 9d ago
Patient Access Representative - Patient Access Center
Christus Health 4.6
Insurance clerk job at CHRISTUS Health
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 experience preferred
Experience
* 1 - 3 years of experience preferred
Licenses, Registrations, or Certifications
* None required
Work Schedule:
PRN
Work Type:
Per Diem As Needed
$30k-34k yearly est. 11d ago
Coordinator Patient Care - Communications - Full Time
Christus Health 4.6
Insurance clerk job at CHRISTUS Health
The Communications Operator performs the necessary functions to promote and maintain a courteous, well organized and efficient communications center. Facilitates transfers of patients in collaboration with Hospital Staff. Relays incoming, outgoing and interoffice calls using PBX switchboard. Paging on call associates. Monitoring of alarms. Maintain documentation of critical activities.
Responsibilities:
Contact Handling
* Manner- Associate's manner displayed during contact
* Promptly answers all calls, use of appropriate greeting announcement of name, proper use of fact finding questions, call routed to correct destination, speaks distinctly and fluently, uses appropriate verbiage, provides accurate information, handled contact in pleasant and helpful manner and escalates calls as necessary to ensure caller's satisfaction.
* Technical Ability
* Operates and navigates Avaya, Epic and CHRISTUS Health software vendors efficiently.
* Communicates with Administration, area hospitals, and EMS agencies regarding diversion procedures.
* Monitors and answers Transfer Center radio communications as needed.
* Communicates with referring hospitals in a timely fashion and follows up in a prompt manner
* Arranges transports to facilities with proper paperwork.
* Appropriate use of resources to handle callers request, identifies and contacts appropriate "on call" persons.
* Follows appropriate procedures when operating radio and PA.
* Properly and efficiently processes "Code Calls" and Crisis Alerts.
* Display working knowledge of Simplex/Fire Alarm Panel.
* Clerical - Accurately completes all clerical work associated with contacts.
* CHRISTUS Organizational Goals - Demonstrates use of AIDET and use of key words, is attentive to abandonment monitor and responds appropriately.
Effectiveness with Others
* Associate displays a positive and helpful attitude that is consistent with the CHRISTUS Mission, communicates and works effectively with other associates and displays flexibility in scheduling and/or filling shifts.
* In collaboration with the PICC staff, appropriately pages all indicated alerts when requested ie: Trauma, Cardiac, Stroke, Chill. Receives and documents calls from team members per hospital policy. Maintains activation logs.
Responsible for adhering to hospital policies and procedures
* Follows attendance and tardiness procedures.--Accrues no unexcused absences, accrues no more than three (3) unscheduled absences, reports to work station at designated time, and follows established call-in procedures in order to maintain adequate staffing levels.
* Follows attire and appearance procedures.--Follows established hospital and/or departmental procedures for dress, personal hygiene, cosmetics, hairstyles, facial hair, jewelry, leg-ware and ID badges, recognizing that proper appearance assists maintaining a professional image and authority.
* Follows safety precautions.--Follows necessary and pertinent safety precautions during the performance of job duties, to prevent injury to self and/or others and to prevent damages to hospital equipment/property. Has no avoidable accidents or injuries during the past twelve (12) months.
* Participates in prescribed inservice programs and departmental meetings.--Attends at least 80% of prescribed inservices and departmental meetings each year in order to learn new procedures and update information to more adequately perform job duties and foster greater teamwork and cooperation.
* Attends infection control and safety programs.--Attends all mandated infection control and safety programs or inservices to maintain a working knowledge appropriate precautions and actions to be initiated during the execution of duties.
* Follows hospital policies and departmental rules.--Adheres to hospital policies and departmental rules.
* Follows the CHRISTUS Health Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
* Associate timely completes all required educational assignments.
* Associate is current on all Health Screenings/Requirements.
* Completes all additional duties and projects as assigned.
Requirements:
* High School diploma or equivalent required.
* A pleasant voice and a keen sense of hearing.
* Must possess strong guest relation skills; must be flexible and able to handle fast work pace with constant interruptions.
* Must be available to work any shift and any day of the week at the St. Elizabeth campus.
* Must be willing to work during mandatory evacuations on a rotating schedule as needed for the safety and security of our patients and staff.
* Six (6) months prior PBX experience strongly preferred.
* A good knowledge of Southeast Texas is preferred.
* Knowledge of pre-hospital care organizations and practices in Southeast Texas is preferred.
Work Schedule:
24 HOURS
Work Type:
Full Time
$28k-40k yearly est. 9d ago
Coordinator Patient Care - Communications - Part Time
Christus Health 4.6
Insurance clerk job at CHRISTUS Health
The Communications Operator performs the necessary functions to promote and maintain a courteous, well organized and efficient communications center. Facilitates transfers of patients in collaboration with Hospital Staff. Relays incoming, outgoing and interoffice calls using PBX switchboard. Paging on call associates. Monitoring of alarms. Maintain documentation of critical activities.
Responsibilities:
Contact Handling
* Manner- Associate's manner displayed during contact
* Promptly answers all calls, use of appropriate greeting announcement of name, proper use of fact finding questions, call routed to correct destination, speaks distinctly and fluently, uses appropriate verbiage, provides accurate information, handled contact in pleasant and helpful manner and escalates calls as necessary to ensure caller's satisfaction.
* Technical Ability
* Operates and navigates Avaya, Epic and CHRISTUS Health software vendors efficiently.
* Communicates with Administration, area hospitals, and EMS agencies regarding diversion procedures.
* Monitors and answers Transfer Center radio communications as needed.
* Communicates with referring hospitals in a timely fashion and follows up in a prompt manner
* Arranges transports to facilities with proper paperwork.
* Appropriate use of resources to handle callers request, identifies and contacts appropriate "on call" persons.
* Follows appropriate procedures when operating radio and PA.
* Properly and efficiently processes "Code Calls" and Crisis Alerts.
* Display working knowledge of Simplex/Fire Alarm Panel.
* Clerical - Accurately completes all clerical work associated with contacts.
* CHRISTUS Organizational Goals - Demonstrates use of AIDET and use of key words, is attentive to abandonment monitor and responds appropriately.
Effectiveness with Others
* Associate displays a positive and helpful attitude that is consistent with the CHRISTUS Mission, communicates and works effectively with other associates and displays flexibility in scheduling and/or filling shifts.
* In collaboration with the PICC staff, appropriately pages all indicated alerts when requested ie: Trauma, Cardiac, Stroke, Chill. Receives and documents calls from team members per hospital policy. Maintains activation logs.
Responsible for adhering to hospital policies and procedures
* Follows attendance and tardiness procedures.--Accrues no unexcused absences, accrues no more than three (3) unscheduled absences, reports to work station at designated time, and follows established call-in procedures in order to maintain adequate staffing levels.
* Follows attire and appearance procedures.--Follows established hospital and/or departmental procedures for dress, personal hygiene, cosmetics, hairstyles, facial hair, jewelry, leg-ware and ID badges, recognizing that proper appearance assists maintaining a professional image and authority.
* Follows safety precautions.--Follows necessary and pertinent safety precautions during the performance of job duties, to prevent injury to self and/or others and to prevent damages to hospital equipment/property. Has no avoidable accidents or injuries during the past twelve (12) months.
* Participates in prescribed inservice programs and departmental meetings.--Attends at least 80% of prescribed inservices and departmental meetings each year in order to learn new procedures and update information to more adequately perform job duties and foster greater teamwork and cooperation.
* Attends infection control and safety programs.--Attends all mandated infection control and safety programs or inservices to maintain a working knowledge appropriate precautions and actions to be initiated during the execution of duties.
* Follows hospital policies and departmental rules.--Adheres to hospital policies and departmental rules.
* Follows the CHRISTUS Health Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
* Associate timely completes all required educational assignments.
* Associate is current on all Health Screenings/Requirements.
* Completes all additional duties and projects as assigned.
Requirements:
* High School diploma or equivalent required.
* A pleasant voice and a keen sense of hearing.
* Must possess strong guest relation skills; must be flexible and able to handle fast work pace with constant interruptions.
* Must be available to work any shift and any day of the week at the St. Elizabeth campus.
* Must be willing to work during mandatory evacuations on a rotating schedule as needed for the safety and security of our patients and staff.
* Six (6) months prior PBX experience strongly preferred.
* A good knowledge of Southeast Texas is preferred.
* Knowledge of pre-hospital care organizations and practices in Southeast Texas is preferred.
Work Schedule:
24 HOURS
Work Type:
Part Time
$28k-40k yearly est. 53d ago
Patient Access Representative - Admitting - PRN
Christus Health 4.6
Insurance clerk job at CHRISTUS Health
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:
PRN
Work Type:
Per Diem As Needed
$30k-34k yearly est. 13d ago
Patient Access Representative - Admitting - PRN
Christus Health 4.6
Insurance clerk job at CHRISTUS Health
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 experience preferred
Experience
* 1 - 3 years of experience preferred
Licenses, Registrations, or Certifications
* None required
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Per Diem As Needed
$30k-34k yearly est. 27d ago
Patient Access Representative - Admitting - Full Time
Christus Health 4.6
Insurance clerk job at CHRISTUS Health
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 experience preferred
Experience
* 1 - 3 years of experience preferred
Licenses, Registrations, or Certifications
* None required
Work Schedule:
7PM - 7AM
Work Type:
Full Time
$30k-34k yearly est. 11d ago
Patient Access Representative - Admitting - PRN
Christus Health 4.6
Insurance clerk job at CHRISTUS Health
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 experience preferred
Experience
* 1 - 3 years of experience preferred
Licenses, Registrations, or Certifications
* None required
Work Schedule:
PRN
Work Type:
Per Diem As Needed
$30k-34k yearly est. 1d ago
Patient Access Representative Lead - Patient Access Center
Christus Health 4.6
Insurance clerk job at CHRISTUS Health
The Patient Access Representative Lead position plays an important role in guiding the team members, motivating them to stay focused and achieving various goals. The job duties will include current Patient Access Representative duties and will also include being the point of contact for information distribution and common day-to-day operational issues (i.e.: schedule changes), resolving issues if supervisor is not available, admitting reporting (i.e.: pre with charges, connance, collections, unbilled report, etc.), and attending meetings as needed.
Responsibilities:
* Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
* Performs Patient Access Representative duties, including but not limited to scheduling and registration, verification of insurance eligibility, calculating and collecting the estimated patient portion, and performing financial assessments for appropriate program assistance.
* Encourages the team to meet collection, productivity, and patient satisfaction goals.
* Encourages the team members to help each other; acts as a mentor to other team members.
* Takes initiative in bringing team members closer.
* Acts as the face of team as well as the organization.
* Supports the department in achieving established performance targets.
* 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 additional duties as assigned.
Job Requirements:
Education/Skills
* High School Diploma or equivalent experience preferred
Experience
* 4-6 years of experience preferred
Licenses, Registrations, or Certifications
* None required
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
$30k-34k yearly est. 53d ago
Patient Access Representative - Admitting
Christus Health 4.6
Insurance clerk job at CHRISTUS Health
CHRISTUS Santa Rosa Hospital - New Braunfels (CSRH-NB), nestled in the heart of downtown New Braunfels, is a full-service, 94-private bed facility that continues to expand to meet the needs of New Braunfels' strong population growth. Innovative equipment and procedures are utilized, including an Outpatient Imaging Center, orthopedic and surgical services, rehabilitation, a renovated birthing center, including 24/7 neonatal coverage, emergency care, wound care/hyperbaric center, 3D mammography, and comprehensive heart care, from diagnostics to open-heart surgery.
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 experience preferred
Experience
* 1 - 3 years of experience preferred
Licenses, Registrations, or Certifications
* None required
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Full Time
$30k-34k yearly est. 1d ago
Patient Access Representative - Admitting - PRN
Christus Health 4.6
Insurance clerk job at CHRISTUS Health
CHRISTUS Santa Rosa Hospital - New Braunfels (CSRH-NB), nestled in the heart of downtown New Braunfels, is a full-service, 94-private bed facility that continues to expand to meet the needs of New Braunfels' strong population growth. Innovative equipment and procedures are utilized, including an Outpatient Imaging Center, orthopedic and surgical services, rehabilitation, a renovated birthing center, including 24/7 neonatal coverage, emergency care, wound care/hyperbaric center, 3D mammography, and comprehensive heart care, from diagnostics to open-heart surgery.
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 experience preferred
Experience
* 1 - 3 years of experience preferred
Licenses, Registrations, or Certifications
* None required
Work Schedule:
PRN
Work Type:
Per Diem As Needed
$30k-34k yearly est. 9d ago
Patient Access Representative - Admitting
Christus Health 4.6
Insurance clerk job at CHRISTUS Health
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 experience preferred
Experience
* 1 - 3 years of experience preferred
Licenses, Registrations, or Certifications
* None required
Work Schedule:
8:30PM - 7AM
Work Type:
Full Time