Patient Access Advocate - PresNow

0090 Presbyterian System Services; United States; On-site; USD 23,000 - 33,000; Full time

Benefits offered by this job

Comprehensive benefits package

Wellness program

Job summary

Presbyterian Healthcare Services is hiring a Patient Access Advocate for PRESNow in Albuquerque, NM. This role handles primary registration of patient accounts, verifies demographics and insurance, and collects point-of-service liabilities during scheduled or urgent visits.

The position requires high school diploma/GED, familiarity with CMS guidelines, and EPIC proficiency. A comprehensive benefits package and wellness programs are offered, with day shifts in PRESNow 24/7 Urgent and Emergency

Qualifications

• High school diploma/GED; 6 months healthcare or 1 year customer service.
• Complete 2-week Patient Access Academy with 85%+ within 6 months.
• CHAA/CHAM or equivalent certification preferred; insurance understanding.
• Basic understanding of medical terminology and billing codes.
• Pass EPIC proficiency test with 85%.

Responsibilities

• Provide exceptional patient experience using CARES, AIDET and EPE.
• Resolve complaints in the moment, de-escalate as needed.
• Manage conflicts and involve supervisor when required.
• Educate patients on insurance benefits and liabilities.
• Ensure accounts are financially cleared at time of service.
• Assist with patient wayfinding and registration documentation.

Skills

Customer service

De-escalation

Conflict resolution

Data entry

Education

High School Diploma or GED

Tools

EPIC

Microsoft Office

Job description

Location Address: 7400 Menaul Blvd NE Albuquerque, NM 87110

Compensation Pay Range: Minimum Offer $16.36 Maximum Offer $24.26

Now Hiring: Patient Access Advocate - PresNow

Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Patient Access Advocate - PRESNow

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.

Type of Opportunity: Full time Job Exempt: No Job is based: PRESNow 24/7 Urgent and Emergency Care - Uptown Work Shift: Days (United States of America)

Responsibilities:

• Customer Service and Caring Practices: 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

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.
• Demonstrated strong keyboarding skills, ensuring efficient data entry and documentation.
• Knowledge in Microsoft Office Products.
• Pass EPIC proficiency test required with a 85% score at completion of the Epic Training class.

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 Here, we’re committed to a different way to make a difference. Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, nurses, employees, board members, and volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than one in three New Mexicans. We are part of New Mexico's history and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.