Patient Access Account Specialist I-Admitting

Presbyterian Healthcare Services • Albuquerque, NM

29d • $22 • Onsite

About The Position

Overview Presbyterian is seeking a Patient Access Account Specialist I The Patient Access Account Specialist I provides basic functions to financial clear patient accounts for government and commercial accounts prior to the date of service. Performs basic financial clearance functions, including insurance verification, authorization, collection and documentation of patient demographics , benefit analysis, and pre-service collections. The Patient Access Account Specialist I will ensure follow up on authorizations for scheduled and Urgent/Emergent procedures and admissions until date of service or discharge for admissions. The Patient Access Account Specialist I must possess a basic knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access to include HIPAA, EMTALA, and CMS guidelines of MSPQ. The Patient Access Account Specialist (PAAS I) monitors work queues for financial clearance and missing authorizations ensuring a payment source is identified and secured and there is a clean claim for billing. This is a Full Time position - Exempt: No Job is based at Presbyterian Hospital Work hours: Days Ideal Candidate: A minimum of 2 years of work experiences in healthcare setting within Patient Access and/or billing plus strong customer service background. Qualifications High school diploma, continued education preferred External and Internal Non-Patient Access Candidates: Pass Patient Academy with passing score of 85% or higher Previous completion and passing of Patient Access Advocate II and III Advancement test. A minimum of 2 years of work experiences in healthcare setting within Patient Access and/or billing plus strong customer service background. Strong knowledge and understanding of insurance and financial processing of accounts. Proficient in EPIC ADT system Specialty Certifications: CHAA, CHAM or other industry equivalent certification preferred Pass annual competency exam for all areas of responsibility. Requires general knowledge of the customer encounter process which may include registration, contract requirements, and coordination of benefits. Knowledge in Microsoft Office Products.

Requirements

• High school diploma, continued education preferred
• A minimum of 2 years of work experiences in healthcare setting within Patient Access and/or billing plus strong customer service background.
• Strong knowledge and understanding of insurance and financial processing of accounts.
• Proficient in EPIC ADT system
• Pass annual competency exam for all areas of responsibility.
• Requires general knowledge of the customer encounter process which may include registration, contract requirements, and coordination of benefits.
• Knowledge in Microsoft Office Products.

Nice To Haves

• External and Internal Non-Patient Access Candidates: Pass Patient Academy with passing score of 85% or higher
• Previous completion and passing of Patient Access Advocate II and III Advancement test.
• Specialty Certifications: CHAA, CHAM or other industry equivalent certification preferred

Responsibilities

• Customer Service and Caring Practices: Achieve 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 prior to date of service to alleviate patient concerns over hospital financial mattersEncounter 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 and clinical information necessary for final clearance of scheduled accounts.
• Review Urgent/Emergent admission accounts for notification, financial clearance and authorization pre-discharge.
• 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.

Benefits

• Presbyterian offers a comprehensive benefits package to eligible employees, including medical, dental, vision, disability coverage, life insurance, and optional voluntary benefits.
• The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities—like challenges, webinars, and screenings—with opportunities to earn gift cards and other incentives.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees