Patient Access Advocate I-Admitting

Presbyterian Healthcare Services • Albuquerque, NM

108d • $21

About The Position

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.

Requirements

• 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).
• 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.

Nice To Haves

• CHAA, CHAM or other industry equivalent certification preferred.

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.
• Performs the patient registration process.
• Manage the accurate collection of patient data which includes but is not limited to obtaining/confirming and entering demographic and other financial information.
• 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.
• Ensure accurate completion of MSPQ at time of service if not completed during financial clearance process.

Benefits

• Comprehensive benefits package including medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
• Employee Wellness rewards program designed to enhance health and well-being.

What This Job Offers

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