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Work Schedule/Shift

Day

Job ID

5000552988406

Req. No

70045143

Job Title

Patient Account Rep I

Region

CHRISTUS Ambulatory Services

Category

Customer Service

Division

Not Defined

Company

CHRISTUS Health

Travel

None

Facility

CHRISTUS SR PASC-Ewing Halsell-32903

Address

7902 Ewing Halsell
San Antonio, TX  78229
US

Type

Full Time

Apply Now Patient Account Rep I Job in San Antonio

Patient Access / Pre-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 / Pre-Access staff ensures that all data entry is accurate including demographic and financial information for each account. Patient Access / Pre-Access has numerous procedural requirements including data elements, insurance verification, authorization for services, collections for all patient portions including prior balances and balancing of cash at shift end. Patient Access / Pre-Access staff is responsible for the successful financial outcome of all patient services. Patient Access / Pre-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 / Pre-Access representatives require dependability, flexibility, and teamwork.

  • REGISTRATION / SCHEDULING
    • Obtains and accurately inputs all required data elements for scheduling and registration, including patient demographic, financial information, guarantor information, and relevant notes associated with the encounter.

    - Data fields include but are not limited to: address, employment, insurance info, nearest relative, guarantor, insurance plan, admitting diagnosis, working diagnosis, and physician information.

    • Prioritizes and completes registrations / scheduling in a consistent, courteous, professional, accurate and timely manner.
    • Ensures each patient is assigned only one medical record number.
    • Selects appropriate patient type based on the department and services required.
    • Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents. Knowledgeable of all such documents.
    • Hospital consent forms
    • Assignment of benefits
    • Payroll Deduction Form
    • Acknowledgement of Account
    • Financial Assistance Application
    • Living Will (& inquires if Living Will exists)
    • Advance Directive. (Obtains information from all patients over 18 years of age, and provides written information to patient when requested.)
    • Patient Rights
    • Documents in account notes.
    • Ensures orders are received and are consistent with tests/procedures.
    • Prepares account/patient folder with necessary forms completed and signed.
    • Gives patient documents that he/she needs to take with him/her to other departments.
  • INSURANCE VERIFICATION / EXPLANATION OF BENEFITS
    • Verifies eligibility and obtains necessary authorizations for services rendered.

    - Medicare / Medicaid eligibility information through the patient admission process.

    - Answer Medicare Secondary Payor Questionnaire.

    - Utilizes online eligibility or Medifax when necessary for verification of Medicare /

    Medicaid

    - Obtains online verification of major payors, including Blue Cross (I-Link Blue), State

    Employees Group Benefit, Tricare, United Healthcare, and others.

    • Utilizes appropriate spreadsheets and worksheets to calculate patient financial responsibility.
    • Performs financial assessment for appropriate program assistance.
    • Utilizes appropriate guidelines to assist patient with financial responsibility.
    • Demonstrates accuracy in selecting insurance plans (I-plans).
  • COLLECTIONS
    • Calculates and collects the estimated patient portion based on benefits and contract reimbursement as well as prior balances.

    - Utilizes appropriate language and behavior to collect patient financial responsibility.

    - Collect co-payments, deductibles, deposits and /or amounts due on previous accounts.

    - Knowledge and ability to review notes on all pre-admitted accounts and discuss with

    customer in a courteous professional manner

    - Knowledge of insurance plans

    - Knowledge and ability to review and explain previous accounts

    Form Date: 02/25/2013 2


    - Knowledge and ability to complete payroll deduction forms, account acknowledgement forms when appropriate

    - Writes or prints receipts and balances cash drawers.

  • CUSTOMER FOCUS
    • Effectively meets customer needs, builds productive customer relationships, and takes responsibility for customer satisfaction and loyalty.
    • Greets patients in a courteous and professional manner.
    • Calls patients by name.
    • Asks patients if they may have special needs.
    • Represents the Patient Access / Pre-Access department in a professional, courteous manner at ALL times.
  • ERRORS
    • Makes minimal errors in performing admissions / scheduling / insurance verification / pre-registration. See Error Policy and Procedure for target error rate percentage.
    • Utilizes education information to reduce error rates.
    • Requests additional education information when necessary.
    • Demonstrates ability to select correct insurance plans.
  • OTHER
    • 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.
    • Performs all other duties as assigned.
    • Demonstrates reliability and dependability by reporting to work when scheduled.
    • BUSINESS LITERACY - Understands the health care environment with its challenges and opportunities. Demonstrates comprehensive job knowledge and skills and understands the impact of personal actions on the organization.
    • INTERPERSONAL RELATIONS - Promotes collaboration, open communication and team spirit.
    • INNOVATION AND CHANGE - Develops individual knowledge and new skills. Improves

    CHRISTUS' processes, systems and performance. Resourceful and enthusiastic in responding to new challenges

    • ADAPTABILITY - Maintains effectiveness during stressful situations; adjusts effectively to process changes. Flexible to meet the needs of the department and community.
    • PERSONAL EFFECTIVENESS - Performs quality work, takes initiative and accepts responsibility. Meets established timelines through effective time management; seeks feedback to improve performance, and demonstrates a positive, "can do" attitude.
    • DECISION MAKING - Takes action that is consistent with available facts, constraints, and probable consequences. Takes action to achieve goals beyond what is required; is proactive.
  • Education/Skills
  • . High school diploma preferred or equivalent required. Successful completion of the core educational curriculum "Excellence at the Front End" required within one year of employment

  • Experience
  • . One year experience in hospital registration or a comparable position preferred.

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