Patient Access Advocate I-Emergency Department

Summary

Build your Career. Make a Difference. Presbyterian is hiring a skilled Patient Access Advocate I to join their team.

Now Hiring

Type of Opportunity: Full time
Job Exempt: No
Job is based: Presbyterian Kaseman Hospital
Work Shift: 12 Hour Days (United States of America)

Responsibilities

• Provides primary registration of patient accounts for self-pay, government and commercial accounts on date of service for scheduled and unscheduled visits.
• Performs registration functions, including updating of demographics, insurance verification, collection of point of service liabilities and documentation of registration information within the ADT system.
• Confirms account being registered has accurate information to ensure clean billing.
• Maintains ongoing knowledge of authorization requirements and payer guidelines. Ensures compliance with admissions forms, benefit entitlement verification, and billing requirements.
• 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, managing the accurate collection of patient data, including demographic and other financial information.
• Verifies insurance for eligibility and benefits using online electronic verification system or by contacting payer directly.
• Accurately documents actions taken in the system of record to drive effective follow-up and ensure an accurate audit trail.
• Maintains appropriate records, files, and timely and accurate documentation in the system of record.
• Collects identified patient financial obligation amounts including residual balance if applicable.
• Refers as appropriate to on-site Financial Advocate or to the Financial Advocacy Center.
• Completes any information missing from the account to ensure accuracy at time of visit.
• Transmits transparency with patients through communication of patient liabilities.
• Performs assigned patient care responsibilities, which may include but not limited to:
• Cooperating fully in all risk management activities and investigations.
• Reporting promptly any suspected or potential violations to laws, regulations, procedures, policies, and practices, and cooperating in related investigation.
• Demonstrating knowledge of all applicable compliance and legal requirements of the job based on the scope of practice of the position.
• Performing assigned patient care responsibilities, which may include but not limited to:
• Collaborating, being accountable, respecting, engaging, and serving to all whom you encounter.

Qualifications

• 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).
• CHAA, CHAM or other industry equivalent certification preferred
• 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
• Demonstrated strong keyboarding skills, ensuring efficient data entry and documentation
• Pass EPIC proficiency test required with a 85% score at completion of the Epic Training class

Benefits

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness

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, webinars, preventive screening and more.

About Presbyterian Healthcare Services

As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

Why work at Presbyterian?

As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services

Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

Equal Opportunity Employer

Presbyterian is a drug-free and tobacco-free employer with smoke free campuses. We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services