Patient Access Account Specialist I-Admitting at Presbyterian Healthcare Services

OverviewPresbyterian is seeking a Patient Access Account Specialist IThe 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.This is a Full Time position - Exempt: NoJob is based at PMG-RR High Resort 4005Work hours: DaysIdeal Candidate: A minimum of 2 years of work experiences in healthcare setting within Patient Access and/or billing plus strong customer service background.QualificationsHigh school diploma continued education preferredExternal and Internal Non-Patient Access Candidates: Pass Patient Academy with passing score of 85% or higherPrevious completion and passing of Patient Access Advocate II and III Advancement test.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 systemSpecialty Certifications: CHAA CHAM or other industry equivalent certification preferredPass 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.ResponsibilitiesCustomer Service and Caring Practices:Achieve 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 prior to date of service to alleviate patient concerns over hospital financial mattersEncounter 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 and clinical information necessary for final clearance of scheduled accounts.Review Urgent/Emergent admission accounts for notification financial clearance and authorization pre-discharge.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.BenefitsAbout Presbyterian Healthcare Services Presbyterian offers a comprehensive benefits package to eligible employees including medical dental vision disability coverage life insurance and optional voluntary benefits.The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities - like challenges webinars and screenings - with opportunities to earn gift to earn gift cards and other incentives.As a mission-driven organization Presbyterian is deeply committed to improving community health across New Mexico through initiatives like growers markets and local partnerships. Founded in 1908 Presbyterian is a locally owned not-for-profit healthcare system with nine hospitals a statewide health plan and a growing multi-specialty medical group. With nearly 14000 employees it is the largest private employer in the state serving over 580000 health plan members through Medicare Advantage Medicaid and Commercial plans.AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.Maximum Offer for this position is up toUSD $22.12/Hr.Compensation DisclaimerThe 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.Required Experience:IC Key Skills Active Directory,Identity & Access Management,LDAP,SAFe,Assistive Technologies,Authentication,Pediatrics Experience,NVDA,Sailpoint,SSH,SSO,Oracle Employment Type : Full-Time Experience: years Vacancy: 1