Patient Access Account Specialist

Patient Access Account Specialist I – Presbyterian Healthcare Services

Join to apply for the Patient Access Account Specialist I role at Presbyterian Healthcare Services
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Base pay range: $15.60/hr - $24.35/hr

Minimum offer: $15.60

Maximum offer: $22.12

9521 San Mateo NE, Albuquerque, New Mexico , United States of America

Type of Opportunity:
Full time
Job Exempt:
No
Job Is Based:
Reverend Hugh Cooper Administrative Center

Work Shift:

Days (United States of America)

Summary:

Build your career. Make a difference. Presbyterian is hiring a skilled Patient Access Account Specialist I. The role provides basic functions to financially clear patient accounts for government and commercial accounts prior to the date of service.

• Achieve exceptional patient experience for patients and patient families by using CARES, AIDET, and EPE tools.
• Address and attempt to appropriately resolve complaints in the moment using de‑escalation processes.
• Manage conflict and request supervisor assistance when needed.
• Implement PROMISE and CARES behaviors in every encounter.
• Educate patients about insurance benefits and liabilities.
• Ensure accounts are financially cleared prior to date of service.
• Perform the patient registration process and manage accurate collection of patient data.
• Obtain and confirm demographic and financial information necessary for final clearance of scheduled accounts.
• Review urgent/emergent admission accounts for notifications and authorization pre‑discharge.
• Obtain missing insurance information including policy number, group number, date of birth, and insurance phone number.
• Verify insurance eligibility and benefits using online electronic verification or direct payer contact.
• Collect identified patient financial obligation amounts including residual balance.
• Ensure a payer source has been identified prior to services being rendered.
• Ensure authorization for correct procedure (CPT), facility, and date of service is obtained.
• Contact patients pre‑visit to complete any missing information.
• Communicate patient liabilities and authorization issues transparently and in a timely manner.
• Perform assigned patient care responsibilities and cooperate in all risk management activities and investigations.

A minimum of 2 years of work experience in a healthcare setting within Patient Access and/or billing plus a strong customer service background.

All benefits‑eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short‑term and long‑term disability, group term life insurance, and other optional voluntary benefits.

AA/EOE/VET/DISABLED. PHS is a drug‑free and tobacco‑free employer with smoke‑free campuses.