Patient Access Account Specialist I

Presbyterian Healthcare Services · United States

Location Address: 1100 Central Ave SE Albuquerque, NM 87106-4930 Compensation Pay Range: Minimum Offer $16.38 Maximum Offer $25.57 Now Hiring: Patient Access Account Specialist I Summary: 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: PRN Job Exempt: No Job is based: Presbyterian Hospital Work Shift: Varied Days and Hours (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.

• 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.