Location Address:
1100 Central Ave SE
Albuquerque, NM 87106-4930
Compensation Pay Range:
Minimum Offer $16.37
Maximum Offer $24.89
Now Hiring: Patient Access Advocate II-ABQ
Summary:
The Patient Access Advocate II 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. Must possess a strong knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access. Monitor accounts to identify any duplications and correct prior to patient receiving services to ensure patient safety. 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.
Type of Opportunity: Full time
Job Exempt: No
Job is based: Presbyterian Hospital
Work Shift: Days (United States of America)
Responsibilities:
Customer Service and Caring Practices:
*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 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 pre-registration/financial clearance process, necessary for account completion.
*Review Urgent/Emergent admission accounts for notification.
*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.
*Review of accounts falling within the work queues to ensure the insurance information contains accurate policy ID#s, Group Name and Numbers, Subscriber information, Authorization numbers, as well as correct payer and Coordination of benefits prior to date of service.
*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 strong 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.
*Daily focus on attaining productivity standards; recommend new approaches for enhancing performance and productivity when appropriate.
*Monitor and track Data Quality program to ensure errors are corrected at time of service. .
*Maintain appropriate records, files, and timely and accurate documentation in the system of record.
*Other duties as assigned
Financial…