Patient Access Advocate I- Presbyterian- Rust

Presbyterian Healthcare Services

1d • Onsite

About The Position

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.

Requirements

• High school diploma
• External and Internal Non-Patient Access Candidates: Pass Patient Academy with passing score of 85% or higher
• 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

• continued education preferred
• Previous completion and passing of Patient Access Advocate II and III Advancement test
• Specialty Certifications: CHAA, CHAM or other industry equivalent certification preferred

Responsibilities

• 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
• Ensure follow up on authorizations for scheduled and Urgent/Emergent procedures and admissions until date of service or discharge for admissions
• 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
• 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

Benefits

• medical
• dental
• vision
• short-term and long-term disability
• group term life insurance
• other optional voluntary benefits
• 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

What This Job Offers

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