Patient Access Advocate-I ED

Presbyterian Healthcare Services; Albuquerque (NM); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare provider in New Mexico is seeking a Patient Access Advocate I to manage patient registration and insurance verification. This role requires excellent customer service skills and knowledge of medical terminology. Join a dedicated team that values diversity and offers comprehensive benefits.

Benefits

Medical, wellness, vision, dental benefits

Paid time off

Retirement plan

Qualifications

• 6 months healthcare experience or 1 year customer service background.
• Complete Patient Access Academy with 85%+ within 6 months.
• Preferred: CHAA, CHAM or industry certification.

Responsibilities

• Deliver exceptional patient experience using CARES, AIDET, and EPE tools.
• Perform patient registration, collecting and verifying demographic and insurance data.
• Verify insurance eligibility and benefits.

Skills

Customer Service

Insurance Knowledge

Medical Terminology

Microsoft Office

Education

High school diploma/GED

Job description

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Overview

Now hiring a Patient Access Advocate I-ED. The Patient Access Advocate I provides primary registration of patient accounts for self-pay, government, and commercial accounts on the date of service for scheduled and unscheduled visits. Responsibilities include registration functions, updating demographics, insurance verification, collection of point of service liabilities, and documentation within the ADT system. Confirm account accuracy to ensure clean billing. Must possess basic knowledge of Medicare (CMS) guidelines and other applicable Compliance Regulatory guidelines. Provide excellent customer service to patients and visitors, including wayfinding.

How You Belong Matters Here

We value diversity and believe in the strength of our team and community. Our non-clinical staff, from IT to Food Services, make a meaningful impact on patient care.

Why Join Us

• Full Time - Exempt: No
• Location: Presbyterian Kaseman Hospital
• Remote work from home: intended for residents in New Mexico
• Work hours: 12-hour night shifts
• Benefits: Medical, wellness, vision, dental, paid time off, retirement, and more

Ideal Candidate

6 months healthcare experience or 1 year customer service background.

Qualifications

• High school diploma/GED
• Experience: 6 months in healthcare or 1 year customer service
• Complete Patient Access Academy with 85%+ within 6 months
• Preferred: CHAA, CHAM or industry certification
• Basic understanding of insurance, medical terminology, billing codes, and healthcare registration
• Proficiency in Microsoft Office

Responsibilities

• Deliver exceptional patient experience using CARES, AIDET, and EPE tools
• Resolve complaints and manage conflicts appropriately
• Educate patients on insurance benefits and liabilities
• Ensure accounts are financially cleared at the time of service
• Perform patient registration, collecting and verifying demographic and insurance data
• Verify insurance eligibility and benefits
• Document actions accurately for follow-up and audits
• Maintain knowledge of authorization requirements and payer guidelines, including Medicare (CMS)
• Complete MSPQ at the time of service if not done during financial clearance

Benefits

Comprehensive benefits including medical, dental, vision, disability, life insurance, and voluntary benefits. Wellness programs offer engagement opportunities and rewards.

About Presbyterian Healthcare Services

Founded in 1908, Presbyterian is a not-for-profit health system in New Mexico with 9 hospitals, a health plan, and a growing medical group. It employs nearly 14,000 staff, including over 1,600 providers and 4,700 nurses. The health plan serves over 580,000 members with Medicare, Medicaid, and commercial plans.

Additional Details

Maximum offer: up to USD $20.57. Compensation considers experience, training, and organizational needs.