Patient Access Account Specialist -ABQ

Overview

Location
: 1100 Central Avenue SE, Albuquerque, New Mexico , United States of America

Compensation
:
Minimum Offer $15.60;
Maximum Offer up to $22.12

Job Title
:
Patient Access Account Specialist I-ABQ

Type Of Opportunity
: PRN

Job Is Based
:
Presbyterian Hospital

Work Shift
:
Days (United States of America)

• Customer Service and Caring Practices:
  Achieve exceptional patient experience using CARES, AIDET and EPE tools. Address and resolve complaints in the moment; manage conflict and request supervisor help when needed. Educate patients regarding insurance benefits and liabilities. Ensure accounts are financially cleared prior to date of service.
• Encounter Components:
  Perform patient registration and collect/enter demographic and financial information for final clearance of scheduled accounts. Review Urgent/Emergent admission accounts for notification, financial clearance and pre-discharge authorization. Obtain missing insurance information and verify eligibility and benefits. Review work queues for pre-visit or urgent/emergent admissions; ensure accurate policy identifiers, subscriber information and authorizations; document actions in the system; maintain knowledge of authorization requirements and payer guidelines, including Medicare CMS guidelines and MSPQ requirements.
• Financial Accountability:
  Collect identified patient financial obligations, ensure a payer source is identified prior to services, and obtain authorization for the correct procedure, facility and date of service.
• Patient Relations:
  Contact patients pre-visit to complete missing information; communicate transparently about liabilities and authorization issues; educate patients on benefits and financial options; provide way-finding and use AIDET to alleviate anxiety.
• Quality Improvement and Compliance:
  Perform duties in compliance with company policies and legal requirements; participate in risk management activities; support CA R ES behaviors and other assigned duties.

• High school diploma; continued education preferred
• Pass Patient Academy with a passing score of 85%+ (External/Internal Non-Patient Access candidates)
• Previous completion of Patient Access Advocate II and III advancement tests
• Minimum of 2 years in healthcare in Patient Access and/or billing with strong customer service
• Strong knowledge of insurance and financial processing; proficient in EPIC ADT; EPIC proficiency test with 85%+
• Specialty
  
  Certifications:
  
  CHAA, CHAM or other industry equivalent preferred
• Microsoft Office knowledge; strong keyboarding and data entry skills
• Demonstrated ability to work with payers to obtain authorizations and coordinate benefits

All benefits-eligible Presbyterian employees receive a comprehensive benefits package including medical, dental, vision, disability, life insurance, and other voluntary benefits.

Wellness
:
Presbyterian's Employee Wellness rewards program with activities, challenges and preventive services.

About Presbyterian Healthcare Services
:
Presbyterian exists to improve the health of patients, members and communities. We are locally owned, not-for-profit with nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state s largest private employer with nearly 14,000 employees, including providers and nurses. Our health plan serves more than 580,000 members statewide.