Patient Access Account Specialist I

Presbyterian Healthcare Services; Albuquerque (NM); On-site; USD 22,000 - 34,000; Full time

Job summary

Presbyterian Healthcare Services is hiring a Patient Access Account Specialist I to perform basic financial clearance for government and commercial accounts. Under supervision, you will verify insurance, obtain authorizations, analyze benefits, and collect patient demographics before service.

This role requires strong customer service skills, knowledge of insurance processing, and experience with EPIC ADT systems.

Qualifications

• High school diploma; education preferred.
• Pass Patient Access Advocate II and III Advancement test.
• Minimum 2 years in healthcare Patient Access/billing with strong customer service.
• Strong knowledge of insurance and financial processing of accounts.
• Proficient in EPIC ADT system.

Responsibilities

• Insurance verification, authorization, benefit analysis, and demographic data collection before service.
• Registration of patients and collection of financial and clinical information for clearance.
• Collects patient financial obligations and confirms payer source and correct codes.

Skills

Customer service

Insurance knowledge

Registration processes

Financial clearance

Education

High school diploma

Patient Access Advocate II and III Advancement test

CHAA

CHAM

Tools

EPIC ADT system

Job description

Compensation Pay Range

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

Location Address

1100 Central Ave SE Albuquerque, NM 87106-4930

Summary

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

Under the direction of the Patient Access Supervisor, the Patient Access Account Specialist I performs basic financial clearance for government and commercial accounts before the date of service. Responsibilities include insurance verification, authorization, benefit analysis, collection and documentation of patient demographics, and preservice collections. Type of Opportunity: PRN Job Exempt: No Job is based: Presbyterian Hospital Work Shift: Varied Days and Hours (United States of America)

Responsibilities

• Customer Service & Caring Practices Provides exceptional patient experience using CARES, AIDET, PROMISE, and deescalation techniques. Resolves complaints in the moment, manages conflict appropriately, and escalates to a supervisor when needed. Educates patients on insurance benefits and liabilities and ensures accounts are financially cleared before the date of service.
• Encounter Components Completes patient registration and accurately collects all demographic, financial, and clinical information required for financial clearance. Reviews urgent/emergent admissions for notification, authorization, and clearance prior to discharge
• Financial Accountabilities Collects patient financial obligations prior to service or arranges payment at time of visit. Ensures a payer source is identified and verifies correct procedure codes, facility, and date of service are authorized.

Qualifications

• 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

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