Presbyterian Healthcare Services

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SENIOR PATIENT ACCESS ADVOCATE-ABQ - ADMITTING

at Presbyterian Healthcare Services

Posted: 11/30/2018
Job Status: Full Time
Job Reference #: 17573

Job Description

About Us

Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of eight hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees.

 

Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.

 

We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.

 

Job Description 

Type of Opportunity: Full Time

FTE: 1.000000

Exempt: No

Work Schedule: Days

Location: Rev Hugh Cooper Admin Center

 

Education:

* High School Diploma or GED

 

Other information:


*Internal Candidates: 5 years experience in healthcare setting with 2 years of Patient Access and/or billing plus strong customer service background.
*Previously passed Patient Access Advocate II, III and Specialist Advancement tests.
*CHAA, CHAM or other industry equivalent certification preferred
*Expert knowledge of insurance and financial processing of accounts;
*Expert knowledge of medical terminology and billing codes (DRG, ICD-10, CPT, HCPCS);
*Proficient in EPIC ADT system; include scheduling, registration, contract requirements, financial guidelines, coordination of services and billing process.
*Proficient in Microsoft Office Products. 


Summary:


The Senior Patient Access Advocate provides all services needed to resolve the financial clearance of patient accounts of government and commercial accounts prior to billing. Performs all financial clearance functions, including insurance verification, authorization, collection and documentation of patient demographics, quality assurance of registration data, benefit analysis, financial counseling, and pre and post service collections. Ensure follow up on authorizations for scheduled and Urgent/Emergent procedures and admissions that were not obtained prior to discharge. Possess a strong knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access. Address work queues for claim edits, bill holds and missing authorizations ensuring a clean claim for billing. Identifying and reporting out registration and clinical trends. Identify functional issues and report them. Act as a departmental resource for Patient Access Representatives with implementation of new processes, programs and projects.

 

Benefits


Benefits are effective day-one (for .45 FTE and above) and include:

  • Competitive salaries<\>

  • Full medical, dental and vision insurance<\>

  • Flexible spending accounts (FSAs)<\>

  • Free wellness programs<\>

  • Paid time off (PTO)<\>

  • Retirement plans, including matching employer contributions<\>

  • Continuing education and career development opportunities<\>

  • Life insurance and short/long term disability programs<\><\>

     

    About New Mexico

    New Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich life>Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great.

     

    Cities in New Mexico are continually ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC.

     

    New Mexico offers endless recreational opportunities to explore, and enjoy an active life>

     

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

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!