Patient Access Representative

2 days ago


Universal City, Texas, United States Christus Health Full time
Job Summary

Christus Health is seeking a highly skilled Ambulatory Service Representative to join our team. As a key member of our patient access team, you will be responsible for providing exceptional patient care and administrative support in an ambulatory in/outpatient setting.

Key Responsibilities
  • Receives and directs phone calls from patients and physician offices, ensuring timely and efficient communication.
  • Schedules patients for treatment by multiple providers and treatment areas, arranging associated tests and procedures according to established guidelines and specific criteria.
  • Prioritizes appointments to foster optimum patient care, efficient utilization of physician's clinical staff, and optimal use of equipment and facilities.
  • Handles urgent patient care calls, alerting providers to emergent patient care symptoms and concerns.
  • Schedules urgent care appointments as needed and directed by physician.
  • Greets patients for scheduled and/or urgent care appointments and procedures, ensuring a positive patient experience.
  • Confirms and verifies patient demographic and insurance information, ensuring accuracy and compliance.
  • Collects co-payments from patients upon arrival when applicable.
  • Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information.
  • Collaborates with insurers to obtain patients' prior-authorizations for procedures and tests as needed.
  • Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits.
  • Reviews and audits billing discrepancy reports, researching errors for resolution.
  • Verifies eligibility for procedures or tests from various health care institutions.
  • Maintains accurate and timely records, logs, charges, files, and other related information as required.
Requirements
  • High School Diploma


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