Patient Access Account Specialist I

Now Hiring: Patient Access Account Specialist I

Build your Career. Make a Difference. Presbyterian is hiring a skilled Patient Access Account Specialist I. Under the direction of the Patient Access Supervisor, the Patient Access Account Specialist I performs basic financial clearance for government and commercial accounts before the date of service. Responsibilities include insurance verification, authorization, benefit analysis, collection and documentation of patient demographics, and pre-service collections.

Type of Opportunity: Full time

Job Exempt: No

Job is based: Remote Workers New Mexico

Work Shift: Days (United States of America)

Responsibilities:

• Customer Service & Caring Practices Provides exceptional patient experience using CARES, AIDET, PROMISE, and de-escalation techniques. Resolves complaints in the moment, manages conflict appropriately, and escalates to a supervisor when needed. Educates patients on insurance benefits and liabilities and ensures accounts are financially cleared before the date of service.
• Encounter Components Completes patient registration and accurately collects all demographic, financial, and clinical information required for financial clearance. Reviews urgent/emergent admissions for notification, authorization, and clearance prior to discharge.
• Financial Accountabilities Collects patient financial obligations prior to service or arranges payment at time of visit. Ensures a payer source is identified and verifies correct procedure codes, facility, and date of service are authorized.

Qualifications:

• High school diploma, continued education preferred
• External and Internal Non-Patient Access Candidates: Pass Patient Academy with passing score of 85% or higher
• Previous 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 system
• Specialty Certifications: CHAA, CHAM or other industry equivalent certification preferred
• Pass annual competency exam for all areas of responsibility.