Patient Access Account Specialist I

Presbyterian Healthcare Services; Albuquerque (NM); Remote; USD 10,000 - 60,000; Full time

Job summary

A leading healthcare organization is seeking a Patient Access Account Specialist I to provide financial clearance for patient accounts. This entry-level role involves insurance verification, documentation, and ensuring compliance with regulations. Candidates should have healthcare experience and strong customer service skills. The position offers competitive pay and benefits, with opportunities for career growth within the organization.

Benefits

Medical benefits

Dental benefits

Vision benefits

Retirement plan

Wellness programs

Qualifications

• Minimum 2 years healthcare experience in Patient Access or billing.
• Knowledge of insurance and financial processing required.
• Certifications such as CHAA, CHAM preferred.

Responsibilities

• Provide excellent customer service using CARES, AIDET, and EPE tools.
• Verify insurance eligibility and benefits.
• Collect patient liabilities and ensure authorization for procedures.

Skills

Customer service

Insurance verification

Financial processing

Microsoft Office

Education

High school diploma or higher

Continued education preferred

Tools

EPIC ADT system

Job description

Join to apply for the Patient Access Account Specialist I role at Presbyterian Healthcare Services

Pay Range

This range is provided by Presbyterian Healthcare Services. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range: $15.00/hr - $21.48/hr

Overview

Now hiring a Patient Access Account Specialist I. Under the direction of the Patient Access Supervisor, this role provides functions to financially clear patient accounts for government and commercial payers prior to the date of service. Responsibilities include insurance verification, authorization, collection, documentation of patient demographics, benefit analysis, and pre-service collections. The specialist ensures follow-up on authorizations for scheduled and urgent/emergent procedures and admissions until the date of service or discharge. Basic knowledge of Medicare (CMS) guidelines and other compliance regulations such as HIPAA, EMTALA, and MSPQ is required. The role involves monitoring work queues for financial clearance and missing authorizations, acting as a resource within Patient Access, and providing excellent customer service to patients, departments, and payers.

Additional Details

• Location: Rev Hugh Cooper Admin Center, remote work within New Mexico
• Work hours: Monday-Friday, weekday schedule
• Benefits: Medical, dental, vision, wellness, retirement, and more

Candidate Qualifications

• Minimum 2 years healthcare experience in Patient Access or billing
• High school diploma or higher; continued education preferred
• Knowledge of insurance and financial processing; proficiency in EPIC ADT system
• Certifications such as CHAA, CHAM preferred
• Ability to pass annual competency exams
• Knowledge of customer encounter processes and Microsoft Office

Responsibilities

• Provide excellent customer service using CARES, AIDET, and EPE tools
• Resolve complaints, manage conflicts, and escalate issues when necessary
• Educate patients on insurance benefits and liabilities
• Perform patient registration and manage demographic and financial data
• Verify insurance eligibility and benefits
• Review work queues and ensure accurate documentation and authorization compliance
• Coordinate with departments and payers to ensure proper authorization and financial clearance
• Monitor and correct data errors and ensure accurate billing information
• Collect patient liabilities and ensure authorization for procedures
• Engage in quality improvement activities and risk management

Additional Information

• Maximum pay: $21.48/hr
• Seniority level: Entry level
• Employment type: Full-time
• Industry: Hospitals and Health Care

Referrals increase your chances of interviewing at Presbyterian Healthcare Services by 2x. Sign in to set job alerts for “Patient Access Specialist” roles.