The Patient Access Lead Representative oversees the daily work flow of the patient access services team for activity prioritization and process resolution. The Patient Access Lead Representative supports the overall success of the department by demonstrating flexibility, collaboration, and cooperation in a team environment while maintaining a high level of production and customer service. The Patient Access Lead Representative interviews patient or representative in a timely and efficient manner while securing all necessary information to create a medical and financial record. The Patient Access Lead Representative determines financial status; obtain requirements needed for self-pay patients, requesting deposits, collecting deductibles and co-insurance and previous accounts due. The Patient Access Lead Representative obtains and appropriately routes the orders received from various physicians and patients. The Patient Access Team Lead may be performing Inpatient, Outpatient, or ER Admitting duties; and all other duties as assigned to promote efficient and effective operations for each department.
Action Oriented -- Taking on new opportunities and tough challenges with a sense of urgency, high energy and enthusiasm.
Customer Focus -- Building strong customer relationships and delivering customer-centric solutions.
Communicates Effectively -- Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences.
Decision Quality -- Making good and timely decisions that keep the organization moving forward.
Collaborates -- Building partnerships and working collaboratively with others to meet shared objectives.
Nimble Learning -- Actively learning through experimentation when tackling new problems, using both successes and failures as learning fodder.
Demonstrates Self-Awareness -- Using a combination of feedback and reflection to gain productive insight into personal strengths and weaknesses.
Goals -- Completes quarterly goals
Delivering the Mission -- Performs duties as defined in this job description and demonstrates mastery of role
associate mentor/trainer (and/or team lead)
Serves in team lead role (if so assigned).
Runs and works Meditech exception reports.
Tracks data and performs data analysis as assigned by manager.
Trains other associates and communicates changes in policy/procedure.
Participates in/assists with performance improvement initiatives and demonstrates an understanding and compliance of all department policies and procedures.
Mentors and trains other associates.
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, 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 care consent
Notice of Visit
Health Information Exchange (HIE)
Important Message from Medicare (IMM)
Medicare Outpatient Observation Notice (MOON)
Financial Assistance Application
Notice of Privacy Practices
Documents in account notes.
Insurance Verification / Explanation of Benefits
Verifies eligibility and obtains necessary authorizations for services rendered.
Utilizes online tools to verify insurance benefits, run medical necessity, determine estimate for services and process upfront collections.
Answer Medicare Secondary Payor Questionnaire.
Demonstrates accuracy in selecting insurance plans (I-plans).
Knowledge and ability to review notes on all pre-admitted accounts and discuss with customer in a courteous professional manner
Knowledge and ability to review and explain previous accounts
Demonstrates contribution and achievement of department collection initiatives.
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
Reviews Accureg daily to ensure a 99% accuracy rate.
Requests additional education information when necessary.
Two years' experience in hospital registration or a comparable position preferred
Certified Healthcare Access Associate through National Association of Healthcare Access Management (NAHAM) must be obtained within 6 months or start date.
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.