Overview

Now Hiring Patient Access Advocate-II-ED

The Patient Access Advocate II-ED, provides registration of patient accounts for government and commercial accounts on date of service for scheduled and unscheduled visits. Perform registration functions, including updating of demographics, insurance verification, authorizations, collection of point of service liabilities and documentation of benefit analysis and registration information within the ADT system. Confirm and follow up on authorization for scheduled visits and make certain account being registered has accurate information to ensure clean billing. Provide coverage to other areas as needed to minimize overtime and guarantee the patients receive services as needed without registration delays.

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:Type of Opportunity: Full Time Exempt: No Work Schedule: 12 Hour Days

Benefits: We offer a wide range of benefits including medical, wellness programs, vision and dental, paid time off, retirement and more.

Qualifications

* Education:Essential:* High School Diploma or GED

* Candidates: 2 years experience in Patient Access and/or billing, plus strong customer service background. (External: 3 years healthcare experience)Pass Patient

* Access Advocate II Advancement test (External: within 6 months of start).

* External: Pass 2 week Patient Access Academy with a passing score of 85% or higher.CHAA, CHAM or other industry equivalent certification preferred

* Strong understanding of insurance and financial processing of accounts.Basic understanding of medical terminology and billing codes (DRG, ICD-10, CPT, HCPCS)

* Proficient in EPIC ADT systemRequires general knowledge of the customer encounter process which may include registration and healthcare practices, financial guidelines, and coordination of benefits.

* 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 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 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 $21.01/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.