Patient Access Account Specialist I

Location Address:

9521 San Mateo NE
Albuquerque, NM 87113-2237


Compensation Pay Range:

Minimum Offer $16.38
Maximum Offer $25.57
Now Hiring: Patient Access Account Specialist I

Summary:

Build your Career. Make a Difference. Presbyterian is hiring a skilled Patient Access Account Specialist I.

The Patient Access Account Specialist I provides basic functions to financial clear patient accounts for government and commercial accounts prior to the date of service. Performs basic financial clearance functions, including insurance verification, authorization, collection and documentation of patient demographics, benefit analysis, and pre-service collections. The Patient Access Account Specialist I will ensure follow up on authorizations for scheduled and Urgent/Emergent procedures and admissions until date of service or discharge for admissions. The Patient Access Account Specialist I must possess a basic knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access to include HIPAA, EMTALA, and CMS guidelines of MSPQ. The Patient Access Account Specialist (PAAS I) monitors work queues for financial clearance and missing authorizations ensuring a payment source is identified and secured and there is a clean claim for billing.

Type of Opportunity: Full time
Job Exempt: No
Job is based: Reverend Hugh Cooper Administrative Center
Work Shift: Weekday Schedule Monday-Friday (United States of America)


Responsibilities:

Customer Service and Caring Practices:

Ensures accounts are financially cleared prior to date of service to alleviate patient concerns over hospital financial matters

Performs the patient registration process. Manage the accurate collection of patient data which includes but is not limited to;

Obtain/confirm and enter demographic and other financial and clinical information necessary for final clearance of scheduled accounts.

Review Urgent/Emergent admission accounts for notification, financial clearance and authorization pre-discharge.

Obtain missing insurance information, to include policy number, group number, date of birth, and insurance phone number if not already identified in account.

Verify insurance for eligibility and benefits using online electronic verification system or by contacting payer directly.

Financial Accountabilities:

Collects identified patient financial obligation amounts including residual balance if applicable. Collect liability from patient prior to visit or make arrangements for payment at time of service.

Ensure a payer source has been identified prior to services being rendered.

Ensure authorization for correct procedure (CPT), facility, and date of service is obtained.

Qualifications:

This role follows a hybrid schedule, Monday through Friday, 9:00 AM to 5:30 PM.

High school diploma, continued education preferred

External and Internal Non-Patient Access Candidates: Pass Patient Academy with passing score of 85% or higher

Previous completion and passing of Patient Access Advocate II and III Advancement test.

A minimum of 2 years of work experiences in healthcare setting within Patient Access and/or billing plus strong customer service background.

Strong knowledge and understanding of insurance and financial processing of accounts.

Proficient in EPIC ADT system

Specialty Certifications: CHAA, CHAM or other industry equivalent certification preferred

Pass annual competency exam for all areas of responsibility.

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

• Wellness
• Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

• Why work at Presbyterian?
• As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

• About Presbyterian Healthcare Services
• Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services