Patient Access Advocate I-ABQ

Presbyterian Healthcare Services • New York, NY

1d • $16 - $24 • Onsite

About The Position

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. The role performs registration functions, including updating demographics, verifying insurance, collecting point-of-service liabilities, and documenting registration information in the ADT system. The advocate confirms that accounts contain accurate information to support clean billing and maintains basic knowledge of Medicare (CMS) guidelines and other applicable compliance requirements. The position also provides a high level of customer service to patients and families during registration and gives wayfinding assistance to patients and visitors.

This part-time, non-exempt position is based at Presbyterian Hospital and works 10-hour day shifts. Responsibilities include completing registration and financial-clearance activities, communicating patient liabilities, collecting payments, maintaining accurate records, and following applicable quality, risk-management, legal, and compliance requirements.

Requirements

• High school diploma or GED.
• At least 6 months of experience in a healthcare setting or 1 year of customer service experience.
• Pass the 2-week Patient Access Academy with a score of 85% or higher within 6 months of starting.
• Pass the EPIC proficiency test with a score of 85% at the completion of the Epic Training class.
• Be at least 18 years old at the time of hire.
• Demonstrate strong keyboarding skills for efficient data entry and documentation.
• Knowledge of Microsoft Office products.
• Basic understanding of patient registration and healthcare.

Nice To Haves

• CHAA, CHAM, or other industry-equivalent certification.
• Basic understanding of insurance.
• Basic understanding of medical terminology and billing codes, including DRG, ICD-10, CPT, and HCPCS.

Responsibilities

• Provide exceptional patient and family experiences using CARES, AIDET, and EPE tools, and implement PROMISE and CARES behaviors in every encounter.
• Address and attempt to resolve complaints in the moment using appropriate communication and de-escalation processes; manage conflict and request supervisor assistance when needed.
• Educate patients about insurance benefits and liabilities and review accounts to support financial clearance at the time of service.
• Perform patient registration and collect or confirm demographic and financial information needed to complete accounts.
• Obtain missing insurance information, including policy and group numbers, date of birth, and insurer phone number.
• Verify insurance eligibility and benefits through an electronic system or by contacting the payer directly.
• Document actions accurately in the system of record to support follow-up and maintain an audit trail.
• Maintain knowledge of authorization requirements, payer guidelines, and Medicare (CMS) requirements for admissions and outpatient services.
• Ensure compliance with admissions forms, benefit-entitlement verification, and billing requirements; complete the MSPQ at the time of service when needed.
• Meet productivity standards and monitor and track data-quality issues so errors are corrected at the time of service.
• Maintain appropriate records, files, and timely and accurate documentation in the system of record.
• Collect identified patient financial obligations, including residual balances where applicable, and communicate liabilities transparently.
• Educate patients about available financial assistance, charity, or other programs, and refer them to an on-site Financial Advocate or the Financial Advocacy Center as appropriate.
• Complete missing account information to ensure accuracy at the time of the visit.
• Cooperate with risk-management activities and investigations; promptly report suspected or potential violations and cooperate with related investigations.
• Conduct transactions in compliance with company policies, procedures, standards, practices, and applicable legal and compliance requirements.
• Perform other duties as assigned.
• Demonstrate CARES behaviors: Collaborate, be Accountable, Respect, Engage, and Serve.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Short-term disability insurance
• Long-term disability insurance
• Group term life insurance
• Other optional voluntary benefits
• Employee wellness rewards program offering opportunities to earn gift cards and other rewards through wellness activities

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: High school or GED