Job Description
Patient Access Advocate I - Admitting
Requisition ID
2024-39146
Category
Patient Financial Services
Location : Name
Presbyterian Kaseman Hospital
Location : City
Albuquerque
Location : State/Province
NM
Minimum Offer
USD $15.00/Hr.
Maximum Offer for this position is up to
USD $20.57/Hr.
Overview
Now hiring a
Patient Access Advocate I-Admitting
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.
How you belong matters here.
We value our employees' differences and find strength in the diversity of our team and community.
At Presbyterian, it's not just what we do that matters. It's how we do it - and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.
Why Join Us:
PRN- Exempt: No
Job is based:Presbyterian Kaseman
Work hours:Varied days and hours
Benefits: PRN/PT (working less than a .45 FTE) employee benefits available for this position such as medical, free gym memberships and an employee wellness program.
Ideal Candidate:
6 months experience in healthcare setting or 1 year customer service background.
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.
Basic knowledge in Microsoft Office Products
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
Encounter Components:
Performs the patient registration process. Manage the accurate collection of patient data which includes but is not limited to;
Obtain/confirm and enter demographic and other financial information, not obtained during pre-registration/financial clearance process, necessary for account completion.
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. Maintain a knowledge of Medicare (CMS) guidelines as it relates to admissions and outpatient services. Ensuring compliance with admissions forms, benefit entitlement verification, and billing requirements.
Ensure accurate completion of MSPQ at time of service if not completed during financial clearance process.
Benefits
We offer more than the standard benefits!
For our employees, we offer a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more.
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:
Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system of 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 more than 1,600 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.
Inclusion and Diversity
Our culture is one of knowing and respecting our patients, members, and each other. We capture this in our Promise and CARES commitments.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
Maximum Offer for this position is up to
USD $20.57/Hr.
Compensation Disclaimer
The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.
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Job Tags
Relief, Local area, Immediate start,