Patient Access Advocate I-Admitting

Now hiring a Patient Access Advocate IAdmitting

The Patient Access Advocate I provides primary registration of patient accounts for selfpay 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 its not just what we do that matters. Its how we do it and it starts with our incredible team. From Information Technology to Food Services and beyond our nonclinical employees make a meaningful impact on the healthcare provided to our patients and members.

Why Join Us

• Per Required Need Exempt: No
• Job is based Rev Hugh Cooper Admin Center
• Work hours: Varied Days and Hours
• Benefits: PRN/PT (working less than a .45 FTE) employee benefits available for this position such as medical gym memberships and an employee wellness program.

Ideal Candidate:

6 months experience in healthcare setting or 1 year customer service background.

• 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 ICD10 CPT HCPCS) preferred
• Requires basic understanding of registration and healthcare.
• Basic knowledge in Microsoft Office Products

• 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 deescalation 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 preregistration/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 followup 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.

All benefitseligible Presbyterian employees receive a comprehensive benefits package that includes medical dental vision shortterm and longterm disability group term life insurance and other optional voluntary benefits.

Wellness
Presbyterians Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your wellbeing. Earn gift cards and more by taking an active role in our personal wellbeing by participating in wellness activities like wellness challenges webinar preventive screening 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 exists to improve the health of patients members and the communities we serve. We are locally owned notforprofit healthcare system of nine hospitals a statewide health plan and a growing multispecialty medical group. Founded in New Mexico in 1908 we are the states largest private employer with nearly 14000 employees including more than 1600 providers and nearly 4700 nurses.

Our health plan serves more than 580000 members statewide and offers Medicare Advantage Medicaid (Centennial Care) and Commercial health plans.

AA/EOE/VET/DISABLED. PHS is a drugfree and tobaccofree employer with smoke free campuses.