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Patient Access Advocate I

Presbyterian Healthcare Services

Albuquerque (NM)

On-site

USD 10,000 - 60,000

Full time

15 days ago

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Job summary

Join Presbyterian Healthcare Services as a Patient Access Advocate I, where you’ll provide essential registration services for patients. This role requires attention to detail and strong customer service skills, ensuring accurate data management and compliance with healthcare guidelines. Ideal candidates will have experience in healthcare or customer service and a high school diploma.

Benefits

Medical benefits
Gym memberships
Employee wellness program

Qualifications

  • 6 months experience in healthcare setting or 1 year customer service background.
  • Prefer certification such as CHAA, CHAM.
  • Basic understanding of medical terminology and billing codes preferred.

Responsibilities

  • Perform primary registration of patient accounts and ensure accurate information.
  • Provide high-level customer service during patient interactions.
  • Verify insurance for eligibility and benefits.

Skills

Customer service
Conflict resolution
Attention to detail

Education

High school diploma/GED

Job description

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

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Presbyterian Healthcare Services provided 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 - $20.57/hr

Overview

Now hiring a Patient Access Advocate I

The Patient Access Advocate I provides primary registration of patient accounts for self-pay, government and commercial accounts on date of service for scheduled and unscheduled visits. Perform registration functions, including updating of demographics, insurance verification, collection of point of service liabilities and documentation of registration information within the ADT system. Confirm account being registered has accurate information to ensure clean billing. Must possess basic knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access. Provide the highest level of customer service to patients/family at time of service through registration interactions as well as providing wayfinding to patients and/or visitors.

How You Belong Matters Here.

We value our employees' differences and find strength in the diversity of our team and community.

At Presbyterian, it's not just what we do that matters. It's how we do it - and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.

Why Join Us

  • Per Required Need - Exempt: No
  • Job is based at Rev Hugh Cooper Admin Center
  • Remote work from home: this job is intended to be conducting in the state of New Mexico.
  • Work hours: Varied Days and Hours
  • Benefits: PRN/PT (working less than a .45 FTE) employee benefits available for this position such as medical, gym memberships and an employee wellness program.

Ideal Candidate:

6 months experience in healthcare setting or 1 year customer service background.

Qualifications

  • High school diploma/GED
  • 6 months experience in healthcare setting or 1 year customer service background.
  • Pass 2 week Patient Access Academy with a passing score of 85% or higher (within 6 mos of start).
  • CHAA, CHAM or other industry equivalent certification preferred
  • Basic understanding of insurance preferred.
  • Basic understanding of medical terminology and billing codes (DRG, ICD-10, CPT, HCPCS) preferred
  • Requires basic understanding of registration and healthcare.
  • Basic knowledge in Microsoft Office Products

Responsibilities

  • Ability to provide exceptional patient experience for patients and patient families by using CARES, AIDET and EPE tools.
  • Addresses and attempts to appropriately resolve complaints in the moment by using key words at key times and de-escalation processes.
  • Ability to manage conflict and appropriately request the help of a supervisor when needed.
  • Implement PROMISE and CARES behaviors in every encounter.
  • Educates patients for whom they speak regarding insurance benefits and liabilities.
  • Ensures accounts are financially cleared at time of service through account review. to alleviate patient concerns over hospital financial matters Encounter Components:
  • 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 information, not obtained during pre-registration/financial clearance process, necessary for account completion.
  • 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.
  • Accurately document actions taken in the system of record to drive effective follow-up and ensure an accurate audit trail.
  • Maintain ongoing knowledge of authorization requirements and payer guidelines. Maintain a knowledge of Medicare (CMS) guidelines as it relates to admissions and outpatient services. Ensuring compliance with admissions forms, benefit entitlement verification, and billing requirements.
  • Ensure accurate completion of MSPQ at time of service if not completed during financial clearance process.

Benefits

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.

Maximum Offer for this position is up to

USD $20.57/Hr.

Compensation Disclaimer

The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.

Seniority level
  • Seniority level
    Entry level
Employment type
  • Employment type
    Full-time
Job function
  • Job function
    Customer Service
  • Industries
    Hospitals and Health Care

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