Patient Access Specialist I: Insurance & Pre-Service

Presbyterian Healthcare Services; Albuquerque (NM); Sur place; USD 23 000 - 35 000; Plein temps

Résumé du poste

Presbyterian Healthcare Services seeks a Patient Access Advocate I to support financial clearance for government and commercial accounts in Albuquerque, NM. The role focuses on verifying eligibility, collecting demographics, and coordinating authorizations pre-service to ensure accurate and timely billing.

The PAAS I works with payers and hospital departments, adheres to CMS/HIPAA guidelines, and delivers exceptional customer service while maintaining documentation and compliance across patient

Qualifications

• High school diploma required; healthcare setting experience preferred.
• Experience with Patient Access or billing preferred.
• Certification such as CHAA or CHAM is advantageous.

Responsabilités

• Provide patient financial clearance prior to service.
• Verify insurance eligibility and benefits.
• Obtain and confirm patient demographics and information.
• Coordinate authorizations for scheduled and urgent procedures.
• Maintain accurate documentation and audit trails in the system.
• Assist with addressing patient questions about benefits and liabilities.
• Support payers and departments to ensure timely authorizations.
• Utilize CARES & AIDET practices to improve patient experience.

Connaissances

Customer service

Communication

Problem solving

Teamwork

Formation

High school diploma

CHAA or CHAM certification

Outils

EPIC ADT system

Microsoft Office

Description du poste

Presbyterian Healthcare Services seeks a Patient Access Advocate I to support financial clearance for government and commercial accounts in Albuquerque, NM. The role focuses on verifying eligibility, collecting demographics, and coordinating authorizations pre-service to ensure accurate and timely billing.

The PAAS I works with payers and hospital departments, adheres to CMS/HIPAA guidelines, and delivers exceptional customer service while maintaining documentation and compliance across patient