Providence Health & Services Patient Access Representative *Internal Only* in Plainview, Texas
Providence St. Joseph Health is calling a Patient Access Representative (Full-time, Days) to our location in Plainview, TX.
We are seeking a Patient Access Representative to be responsible for assisting patients during the on-site registration and arrival process for scheduled and unscheduled visits as well as completing financial clearance functions. This individual completes the registration for unscheduled visits by collecting accurate demographic information, insurance information, and collecting patient liability (if known) at the time of service. This individual is also responsible for financial clearance functions on assigned scheduled accounts. The Patient Access Representative greets and serves patients in a professional, friendly, and respectful manner to promote positive encounters. All information is gathered while adhering to regulation and compliance requirements and guideslines and is documented timely and accurately.
The incumbent performs all duties in a manner that promotes the PJSH mission, values, and philosophy. In all aspects, the incumbent serves as a role model for the values and mission of the organizations.
In this position you will have the following responsibilities:
Perform full duties and task of an Associate Patient Access Representative.
Assist patients with the financial assistance process to include screening.
Read and understand patients insurance, eligibility and benefits.
Understand the Authorization Policy and works with leadership and physician’s office to determine if the patient’s procedure is urgent/emergent for possible service deferral.
Sends notifications to insurance companies on inpatient and observation patients and communicates with Case Management if clinicals are required and documents in Meditech notes.
Confirm all procedures have required authorizations.
Calculates patients liability, provides estimates, collect patient portion and perform cashiering functions.
Obtain all information necessary to perform benefits verification for unscheduled visits.
Assist patients with on site customer service functions (e.g., billing, medical records and collection inquires)
Ability to close cash drawers and make deposits.
Act as a knowledgeable resource on Patient Access for department staff. (e.g., answer questions, assist with new hires)
Review own work for accuracy and completeness prior to end of shift
Adhere to state and federal regulations
Meet productivity, point of service collections, and quality goals/standards.
Perform other duties as assigned
Required qualifications for this position include:
High School Diploma or GED.
3 years healthcare experience within Patient Access of Business office setting.
Previous experience with insurance eligibility systems.
Preferred qualifications for this position include:
Associate's Degree in Healthcare or Business Administration
3 years utilization of medical terminology in job setting.
Knowledge in medical billing codes.
1 year knowledge of Epic Applications.
BLS - Basic Life Support certification upon hire.
Certified Healthcare Access Associate (CHAA).
Certified Revenue Cycle Specialist (CRCS).
About the department you will serve.
One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC’s objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise.
We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Patient Services
Req ID: 303911