financial clearance specialist

Trinity Health

<b>Employment Type:</b><br>
Part time
<br><br>
<b>Shift:</b><br>
Day Shift
<br><br>
<b>Description:</b><br>
<b>Job Title:</b> Insurance Verification Specialist
<br><b>Employment Type:</b> Per Diem
<br><b>Shift:</b> Day need
<br><b>Location:</b> Onsite requirement for training at41 University Dr, Newtown, PA 18940 then will move remote.
<br><br>
:
<br>The Insurance Verification Specialist will be responsible for ensuring all pre-service accounts are financially cleared prior to the date of service for the Trinity Mid-Atlantic Region which includes, Mercy Fitzgerald, Nazareth Hospital, St. Francis Wilmington and St. Mary Medical Center Langhorne.
<br><br>
<ul>
<li>Responsible for complex, high-dollar services including surgical, observation and in-house services working in multiple areas of verification including outpatient verification, elective short procedure / inpatient verification,& urgent admission verification or scheduling.</li>
<li>Obtains and verifies accurate insurance information, benefit validation, authorization, and preservice collections.</li>
<li>Begins the overall patient experience and initiates the billing process for any services provided by the hospital.</li>
</ul>
<b>Minimum Qualifications:</b><br>
<ul>
<li>High School Diploma or equivalent.</li>
<li>Two (2) to Five (5) years experience in area of expertise such as scheduling, financial clearance, or patient access.</li>
<li>National certification in HFMA CRCR or NAHAM CHAA required within one (1) year of hire.</li>
<li>Must be proficient in the use of Patient Registration/Patient Accounting systems and related software systems.</li>
</ul>
<b>Additional Qualifications (nice to have):</b><br>
<ul>
<li>Associates Degree, preferred.</li>
<li>Comprehensive knowledge of scheduling with mastery in at least three (3) or more modalities and insurance verification processes with three (3) years scheduling experience in an acute care setting.</li>
<li>Experience in complex facility based ancillary testing across multiple facilities/states.</li>
<li>Strong knowledge of third-party and government payer billing and reimbursement guidelines as well as department performance standards and policies and procedures.</li>
</ul>
<b>Position Highlights:</b><br>
<ul>
<li>Work/Life balance with flexible schedules. </li>
<li>Free onsite parking. </li>
<li>Our mission and core values are what drive each member of Trinity Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all.  </li>
<li>Referral Rewards Program</li>
</ul>
Our Commitment
<br><br>
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Insurance Verification Specialist-Per Diem

LCMC Health

<div><p>Your job is more than a job</p><p></p><div><div><div><div><p><b>
Be the problem-solver before the visit!</b></p></div><p></p><div><p><br>
As a Patient Access Representative focused on Financial Clearance and Authorizations, you work behind the scenes&mdash;and directly with patients&mdash;to ensure care is approved, covered, and financially clear before services are delivered. Your attention to detail helps prevent delays, denials, and surprises, creating a smoother experience for both patients and care teams.</p></div><div><p>
You bring clarity, accuracy, and empathy to conversations about insurance, authorizations, and financial responsibility&mdash;making complex processes easier to understand.</p></div><div><p><b>
What You&rsquo;ll Do:</b></p></div><ul><li><p>
Verify insurance eligibility and benefits for scheduled and unscheduled services</p></li><li><p>
Obtain prior authorizations and referrals as required by payers</p></li><li><p>
Review patient accounts for financial clearance and resolve issues before services are rendered</p></li><li><p>
Communicate with insurance companies, providers, and internal teams to secure approvals</p></li><li><p>
Explain coverage, estimates, and financial responsibility to patients</p></li><li><p>
Assist with payment arrangements and financial assistance referrals when appropriate</p></li><li><p>
Maintain accurate documentation and protect patient confidentiality</p></li></ul><div><p><b>
What You Bring:</b></p></div><ul><li><p>
Strong customer service and communication skills</p></li><li><p>
Attention to detail and comfort working with insurance and authorization processes</p></li><li><p>
Ability to explain financial and coverage information clearly and confidently</p></li></ul><div><p><b>
Minimum Requirements:</b></p></div><ul><li><p>
High School Diploma or GED (or 2 years of applicable experience in lieu of education)</p></li><li><p>
2 years of customer service and/or healthcare experience</p></li></ul><p></p><div><p><b><br>
Help clear the path to care&mdash;so patients can focus on getting better!</b></p></div></div></div></div><p></p><p><b>
WORK SHIFT:
</b></p><p></p>Days (United States of America)<p><b>
LCMC Health is a community.</b></p><p>
Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little &ldquo;come on in&rdquo; attitude is the foundation of LCMC Health&rsquo;s culture of everyday extraordinary</p><p></p><p><b>
Your extras</b></p><ul><li>
Deliver healthcare with heart.</li><li>
Give people a reason to smile.</li><li>
Put a little love in your work.</li><li>
Be honest and real, but with compassion.</li><li>
Bring some lagniappe into everything you do.</li><li>
Forget one-size-fits-all, think one-of-a-kind care.</li><li>
See opportunities, not problems &ndash; it&rsquo;s all about perspective.</li><li>
Cheerlead ideas, differences, and each other.</li><li>
Love what makes you, you - because we do</li></ul><p></p><p><b>
You are welcome here.</b></p><p>
LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.</p><p></p><p>
The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.</p><p></p><p><b><br>
Simple things make the difference.</b></p><p>
1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.</p><p>
2. To ensure quality care and service, we may use information on your application to verify your previous employment and background.</p><p>
3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.</p><p>
4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.</p></div>

Patient Access Representative (FT; Days) (Insurance Authorizations) - LCMC Health Westpark Campus

Norman Regional Health

<div>Responsibilities:
<ul><li>Performs financial clearance function for every patient on assigned worklist within the department approved timeline and using workflow tools as designed.</li><li>
Effectively works to resolve any identified or outstanding issues for the patients they have financially cleared at any time during the revenue cycle.</li><li>
Works on any special projects or initiatives related to the workflow of patient access with a mind open to change and with a full awareness of the focus on patient and provider satisfaction.</li><li>
Performs the patient registration and admission process.</li><li>
Provides excellent customer service to all patients, guests and family members.</li><li>
Performs other duties as assigned.</li></ul>
Qualifications:
<div><b>
Education</b></div><ul><li>
High School Diploma or equivalent.
</li><li>Associates or Bachelor&rsquo;s degree preferred.</li></ul><div><b>
Experience</b></div><ul><li>
5 years of experience in healthcare-related industry or hospital Patient Financial Services or Patient Access department, with emphasis on customer service, point of service collections, insurance verification and authorizations processes, patient liability estimation and counseling/collection experience.
</li><li>Experience working with public and multiple customers (internal and external), working under stress, meeting deadlines and performing daily assignments with consistent accuracy are standard requirements.
</li><li>Responsible for protecting the financial assets of the organization by insuring payer sources are valid, authorized and liability is effectively communicated and preferably collected.</li></ul><p>
(Above requirements can be met by equivalent combination of education and experience)</p><p></p><div><b><br>
Licensure/Certification/Registration/ETC.</b></div><ul><li>
Patient access professional designation CHAM encouraged.</li></ul><p><b>
Compensation/Benefits</b></p><ul><li>
$18.08-$29.53/hr depending on previous work experience.</li><li>
Benefits include medical, dental, vision, short-term disability, long-term disability, life insurance, paid time off (PTO), paid holidays, tuition reimbursement, scholarship opportunities, retirement plans, free parking, and opportunities for advancement.</li></ul></div>

CV Patient Financial Counselor - Registrar

Sutter Health

We are so glad you are interested in joining Sutter Health!
<br><br>
<b>Organization:</b><br>
SSMC-Sutter Solano Medical Center
<br><br>
<b>Position Overview:</b><br>
Serves as the face to face point of contact for the patient at a client location. Obtains all necessary information to register and financially clear patients. Greets patients/family members and obtains and/or verifies relevant information in the process of registering financially clearing patients for service delivery. Enhances the patient experience throughout all patient interactions by serving as the customer service point of contact at the point of service by demonstrating knowledge of Sutter's Health system and service offerings. Responsible for supporting the success of a high-performing shared services organization by helping to champion and drive the long-term MFSS vision. Helps foster an environment in which continuous improvement in business processes and services is welcomed and recognized. Participates in programs and in using tools in support of building a high performance culture via the standard MFSS responsibilities (e.g. performance measurement, people development, customer relationship management, etc.).
<br><br>
<b>Job Description:</b><br>
EDUCATION
<br><br>
<ul>
<li>Equivalent experience will be accepted in lieu of the required degree or diploma.</li>
<li>HS Diploma or equivalent education/experience</li>
</ul>
Associates
<br><br>
<b>PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:</b><br>
<ul>
<li>Experience within a hospital or clinic environment, an insurance company, managed care organization or other financial service setting, performing financial counseling, financial clearance and/or customer service activities as typically acquired in two years Completion of regulatory/mandatory certifications and skills validation competencies preferred</li>
</ul>
SKILLS AND KNOWLEDGE
<br><br>
<ul>
<li>General knowledge of patient access financial counseling functions in acute and non-acute settings preferred</li>
</ul>
•
<br><ul>
<li>Working knowledge of medical terminology desired</li>
</ul>
•
<br><ul>
<li>Working knowledge and understanding of insurance terminology desired EMTALA and Consent Laws knowledge</li>
</ul>
•
<br><ul>
<li>Excellent time management skills and the ability to manage frequent in-person patient contacts while effective maintaining and documenting data in the patient registration systems</li>
</ul>
•
<br><ul>
<li>Demonstrated ability to work in multiple computer systems, such as patient registration/accounting systems, telephone consoles, document imaging, scanning, payment posting, proprietary payer websites and data quality monitoring, both accurately and efficiently</li>
<li>Strong data entry skills required</li>
<li>Excellent verbal and written communication and active listening skills</li>
<li>Interpersonal skills necessary in dealing with internal and external customers</li>
<li>Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Sutter Health</li>
<li>Accuracy and attentiveness to detail required</li>
<li>Strong decision making and problem-solving skills</li>
<li>Must be able to set and organize own work priorities, and adapt to change</li>
<li>Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles</li>
<li>Ability to meet or exceed targeted customer service, productivity and quality standards</li>
<li>Fluency in both English and a minimum of one other language is preferred for this role to allow Sutter Health to better serve the community and patient population Computer proficiency skills required Requires the ability to work with and maintain confidential information</li>
</ul>
<b>Job Shift:</b><br>
Day/Evening/Night
<br><br>
<b>Schedule:</b><br>
Part Time
<br><br>
<b>Shift Hours:</b><br>
8
<br><br>
<b>Days of the Week:</b><br>
Variable
<br><br>
<b>Weekend Requirements:</b><br>
As Needed
<br><br>
<b>Benefits:</b><br>
Yes
<br><br>
<b>Unions:</b><br>
Yes
<br><br>
<b>Position Status:</b><br>
Non-Exempt
<br><br>
<b>Weekly Hours:</b><br>
32
<br><br>
<b>Employee Status:</b><br>
Regular
<br>Sutter Health is an equal opportunity employerEOE/M/F/Disability/Veterans.
<br><br>
Pay Range is $29.26 to $36.33 / hour
<br>The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

PT Access Rep/PBX Operator

We are so glad you are interested in joining Sutter Health!
<br><br>
<b>Organization:</b><br>
SSMC-Sutter Solano Medical Center
<br><br>
<b>Position Overview:</b><br>
Serves as the face to face point of contact for the patient at a client location. Obtains all necessary information to register and financially clear patients. Greets patients/family members and obtains and/or verifies relevant information in the process of registering financially clearing patients for service delivery. Enhances the patient experience throughout all patient interactions by serving as the customer service point of contact at the point of service by demonstrating knowledge of Sutter's Health system and service offerings. Responsible for supporting the success of a high-performing shared services organization by helping to champion and drive the long-term MFSS vision. Helps foster an environment in which continuous improvement in business processes and services is welcomed and recognized. Participates in programs and in using tools in support of building a high performance culture via the standard MFSS responsibilities (e.g. performance measurement, people development, customer relationship management, etc.).
<br><br>
<b>Job Description:</b><br>
EDUCATION
<br>Equivalent experience will be accepted in lieu of the required degree or diploma.
<br><br>
<ul>
<li>HS Diploma or equivalent education/experience</li>
<li>Associates degree or equivalent</li>
</ul>
<b>PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:</b><br>
Experience within a hospital or clinic environment, an insurance company, managed care organization or other financial service setting, performing financial counseling, financial clearance and/or customer service activities as typically acquired in two years Completion of regulatory/mandatory certifications and skills validation competencies preferred
<br><br>
SKILLS AND KNOWLEDGE
<br><br>
<ul>
<li>General knowledge of patient access financial counseling functions in acute and non-acute settings preferred</li>
<li>Working knowledge of medical terminology desired</li>
<li>Working knowledge and understanding of insurance terminology desired EMTALA and Consent Laws knowledge</li>
<li>Excellent time management skills and the ability to manage frequent in-person patient contacts while effective maintaining and documenting data in the patient registration systems</li>
<li>Demonstrated ability to work in multiple computer systems, such as patient registration/accounting systems, telephone consoles, document imaging, scanning, payment posting, proprietary payer websites and data quality monitoring, both accurately and efficiently</li>
<li>Strong data entry skills required</li>
<li>Excellent verbal and written communication and active listening skills</li>
<li>Interpersonal skills necessary in dealing with internal and external customers</li>
<li>Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Sutter Health</li>
<li>Accuracy and attentiveness to detail required</li>
<li>Strong decision making and problem solving skills</li>
<li>Must be able to set and organize own work priorities, and adapt to change</li>
<li>Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles</li>
<li>Ability to meet or exceed targeted customer service, productivity and quality standards</li>
<li>Fluency in both English and a minimum of one other language is preferred for this role to allow Sutter Health to better serve the community and patient population Computer proficiency skills required Requires the ability to work with and maintain confidential information</li>
</ul>
<b>Job Shift:</b><br>
Varied
<br><br>
<b>Schedule:</b><br>
Per Diem/Casual
<br><br>
<b>Shift Hours:</b><br>
8
<br><br>
<b>Days of the Week:</b><br>
Variable
<br><br>
<b>Weekend Requirements:</b><br>
As Needed, Once a Month
<br><br>
<b>Benefits:</b><br>
No
<br><br>
<b>Unions:</b><br>
Yes
<br><br>
<b>Position Status:</b><br>
Non-Exempt
<br><br>
<b>Weekly Hours:</b><br>
0
<br><br>
<b>Employee Status:</b><br>
Per Diem/Casual
<br>Sutter Health is an equal opportunity employerEOE/M/F/Disability/Veterans.
<br><br>
Pay Range is $29.26 to $36.33 / hour
<br>The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

PT Access Rep / PBX Operator

The University of Michigan

<p></p><div><div><div><h2 class="jobSectionHeader"><b>How to Apply</b></h2><p>
A cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position.</p><h2 class="jobSectionHeader"><b>
Job Summary</b></h2><p>
The Outpatient Financial Clearance and Authorization team is looking for a full-time Patient Business Associate to provide timely and thorough insurance and financial risk assessment review for scheduled outpatient services.
</p><h2 class="jobSectionHeader"><b>Mission Statement</b></h2><p>
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.</p><h2 class="jobSectionHeader"><b>
Why Join Michigan Medicine?</b></h2><p>
Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world?s most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.</p><p><b>
What Benefits can you Look Forward to?</b></p><ul><li>
Excellent medical, dental and vision coverage effective on your very first day</li><li>
2:1 Match on retirement savings</li></ul><h2 class="jobSectionHeader"><b>
Responsibilities*</b></h2><ul><li>
Take necessary steps to acquire accurate and complete insurance information to ensure first time quality and improve the patient financial experience at Michigan Medicine</li><li>
Evaluate all patient payment sources, verify insurance eligibility, collect insurance benefit information and document insurance referral and authorization requirements for outpatient appointments and surgeries</li><li>
Prepare the patient liability estimate using procedure code(s), diagnosis, payer fee schedule and benefit information.</li><li>
Contact and educate patients on out-of-pocket liability for hospital and professional services prior to appointment and collect and post pre-payments when appropriate</li><li>
Verify and update patient demographic and insurance information as needed</li><li>
Identify and promptly communicate changes in a patient's insurance coverage to the outpatient clinic as needed</li><li>
Refer patients with insurance concerns requiring immediate attention to the Patient Financial Counselor or alternate funding sources when appropriate based on financial assessment</li><li>
Clearly and thoroughly document all actions, contacts, outcomes, and interventions</li><li>
Respond to insurance related questions from Michigan Medicine customers with promptness and thoroughness</li><li>
Review, investigate and resolve outpatient hospital accounts being held due to insurance related issues post service and prior to claim submission</li><li>
Attend and participate in operational meetings, utilizing LEAN thinking and principles.</li><li>
Develop standard processes and incorporate efficiencies into daily workflow</li><li>
Assist and contribute to the overall achievement of the Michigan Medicine and Patient Business Services quality, operational and financial goals and objectives</li></ul><h2 class="jobSectionHeader"><b>
Required Qualifications*</b></h2><ul><li>
High school diploma in combination with experience working with health insurance or in a healthcare setting is essential.</li><li>
Minimum 2-3 years of progressively complex registration, billing &amp; third-party payers experience or working with health insurance or in a healthcare setting</li><li>
Outstanding customer service, written and verbal communication skills are mandatory.</li><li>
Ability to prioritize and handle multiple tasks, producing high-quality work in a timely, accurate and efficient manner is required.</li><li>
Proficiency in the use of computers and basic software applications is necessary.</li><li>
 Ability to be flexible and work within a team-focused, participative management framework is required.</li></ul><h2 class="jobSectionHeader"><b>
Desired Qualifications*</b></h2><ul><li>
An Associates Degree with three years of progressively complex healthcare registration, insurance and billing experience is preferred.</li><li>
Minimum 1-2 years of experience in healthcare billing, insurance verification, or related revenue cycle roles.
</li><li>Understanding and ability to interpret and communicate insurance benefit plans, insurance coverage, and payer guidelines information is recommended.</li><li>
Familiarity with CPT codes and payer fee schedules is desired.</li><li>
Knowledge of No-Fault Auto, Michigan Assigned Claims, Veteran's Affairs, third party and government payer rules and regulations is preferred.</li><li>
Experience working in the EPIC system is desired.</li></ul><h2 class="jobSectionHeader"><b>
Work Locations</b></h2><p>
This position is a remote position where you will work from home/virtually once training is completed and performance-based competency has been obtained. High speed internet is a requirement for this position and the cost is the responsibility of the staff member. There may be occasions where the staff member may need to report to the business office location, including meetings, computer or technology requirements, or to complete work that is not possible to handle remotely. The business location will have space available to reserve onsite work when required or necessary. Although there is some flexibility in working hours, the business location and operations are in the Eastern Time Zone and work hours must accommodate interactions, including video conferencing, with colleagues during these hours. Computing resources including required software applications, VPN, desktop or laptop computer, monitor, webcam, keyboard and mouse, will be provided by the employer. Remote staff are not provided with a mobile phone but are provided with computer telephone and fax technology. Office equipment such as desk, chair, and printer are not provided. Basic supplies such as paper and pens, are stocked at the business location and are available to remote staff for pick-up should they choose. Unless otherwise agreed in advance with your manager, additional hardware, software, printing, and cost of office supplies preferred by the staff member, are the responsibility of the employee.</p><p>
Technology Skills required include the ability to set-up computer and monitors and connect accessory items such as mouse, keyboard, and web cams. Remote computing support is available 24/7 via phone, chat, or ticketing system, to all staff members. Staff will be expected to effectively communicate and resolve most computing issues directly with computing support resources.</p><h2 class="jobSectionHeader"><b>
Modes of Work</b></h2><p>
Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.</p><h2 class="jobSectionHeader"><b>
Union Affiliation</b></h2><p>
This position is covered under the collective bargaining agreement between the U-M and the Service Employees International Union (SEIU), which contains and settles all matters with respect to wages, benefits, hours, and other terms and conditions of employment.</p><h2 class="jobSectionHeader"><b>
Background Screening</b></h2><p>
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.</p><h2 class="jobSectionHeader"><b>
Application Deadline</b></h2><p>
Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.</p><h2 class="jobSectionHeader"><b>
U-M EEO Statement</b></h2><p>
The University of Michigan is an equal employment opportunity employer.</p></div></div></div><p></p>
<br><div><div><h3 class="jobSectionHeader"><b>Job Opening ID</b></h3>
<div><p>274833</p>
</div></div><div><h3 class="jobSectionHeader"><b>Working Title</b></h3>
<div><p>Patient Business Associate</p>
</div></div><div><h3 class="jobSectionHeader"><b>Job Title</b></h3>
<div><p>Patient Business Associate</p>
</div></div><div><h3 class="jobSectionHeader"><b>Work Location</b></h3>
<div><p>Michigan Medicine - Ann Arbor</p>
</div></div><p>Ann Arbor, MI</p>
<div><h3 class="jobSectionHeader"><b>Modes of Work</b></h3>
<div><p>Mobile/Remote
</p></div></div><div><h3 class="jobSectionHeader"><b>Full/Part Time</b></h3>
<div><p>Full-Time</p>
</div></div><div><h3 class="jobSectionHeader"><b>Regular/Temporary</b></h3>
<div><p>Regular</p>
</div></div><div><h3 class="jobSectionHeader"><b>FLSA Status</b></h3>
<div><p>Nonexempt</p>
</div></div><div><h3 class="jobSectionHeader"><b>Organizational Group</b></h3>
<div><p>Exec Vp Med Affairs</p>
</div></div><div><h3 class="jobSectionHeader"><b>Department</b></h3>
<div><p>MM Rev Cycle (PTO)</p>
</div></div><div><h3 class="jobSectionHeader"><b>Posting Begin/End Date</b></h3>
<div><p>3/09/2026 - 3/23/2026</p>
</div></div><div><h3 class="jobSectionHeader"><b>Salary</b></h3>
<div><p>$47,465.60 - $68,868.80</p>
</div></div><div><h3 class="jobSectionHeader"><b>Career Interest</b></h3>
<div><p>Service Employees Intl Union (SEIU)</p></div></div></div>

Patient Business Associate

Presbyterian Healthcare Services

<div><p><b>Location Address:</b></p>
9521 San Mateo NE Albuquerque, NM 87113-2237
<p></p><p><b>
Compensation Pay Range:</b></p>
Minimum Offer $15.60 Maximum Offer $22.12 Now Hiring: Patient Access Account Specialist I-ABQ<p></p><p><b>
Summary:</b></p><p></p>
Under the direction of the Patient Access Supervisor, the Patient Access Account Specialist I provides basic functions to financial clear patient accounts for government and commercial accounts prior to the date of service. Performs basic financial clearance functions, including insurance verification, authorization, collection and documentation of patient demographics, benefit analysis, and pre-service collections. The Patient Access Account Specialist I will ensure follow up on authorizations for scheduled and Urgent/Emergent procedures and admissions until date of service or discharge for admissions. The Patient Access Account Specialist I must possess a basic knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access to include HIPAA, EMTALA, and CMS guidelines of MSPQ. The Patient Access Account Specialist (PAAS I) monitors work queues for financial clearance and missing authorizations ensuring a payment source is identified and secured and there is a clean claim for billing. The Patient Access Account Specialist I acts as resource to all employees within Patient Access. The Patient Access Account Specialist I is responsible for providing the highest level of customer service to patients, ancillary departments and payers when financially clearing accounts. The PAAS I will work with ancillary departments to ensure the procedures scheduled and authorized meet payer requirements. The Patient Access Account Specialist I provides coverage to other areas and hospitals as needed to minimize overtime and guarantee the patients receive services as needed without registration delays. Type of Opportunity: Full time Job Exempt: No Job is based: Reverend Hugh Cooper Administrative Center Work Shift: Days (United States of America)
<p></p><p><b>
Responsibilities:</b></p><p></p>
Customer Service and Caring Practices: *Achieve 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 prior to date of service 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 and clinical information necessary for final clearance of scheduled accounts. *Review Urgent/Emergent admission accounts for notification, financial clearance and authorization pre-discharge. *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 and process work queues related to Patient Access pre-visit or urgent/emergent admissions, per department guidelines. *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 proficient 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 prior to date of service. *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 prior to final bill and correct accounts as necessary. *Maintain appropriate records, files, and timely and accurate documentation in the system of record. *Work with ancillary departments to ensure coding, diagnosis and facility are authorization are in alignment. *Work with payers to ensure authorization is in place; initiating the auth when appropriate. *Coordinate efforts with Financial Advocates to secure payer source current and future visits. *Monitor work queues to identify late add-on accounts and complete financial clearance procedures prior to services to avoid unauthorized procedures from being performed. *Work with physician offices to resolve discrepancies in authorizations and scheduled procedures. Financial Accountabilities: *Collects identified patient financial obligation amounts including residual balance if applicable. Collect liability from patient prior to visit or make arrangements for payment at time of service. *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. Patient Relations *Contact patients pre-visit to complete any information missing from the account to ensure accuracy prior to visit. *Transparency with patients through communication of patient liabilities and authorization issue in a timely manner, allowing patients ability to make informed decisions. *Educate patients and answer questions from patients on benefits, liabilities and financial options. *Provide patient with way-finding for appointment at time of pre-registration. *Perform AIDET when speaking to patient to alleviate anxiety and confusion. Quality Improvement: *Perform assigned patient care responsibilities, which may include but not limited to: *Cooperate fully in all risk management activities and investigations. *Report promptly any suspected or potential violations to laws, regulations, procedures, policies, and practices, and cooperate in related investigation. *Conduct all transactions in compliance with all company policies, procedures, standards, and practices. *Demonstrate knowledge of all applicable compliance and legal requirements of the job based on the scope of practice of the position. C.A.R.E.S Behaviors: *Demonstrates CARES behaviors of Collaborate, be Accountable, Respect, Engage and Serve to all whom you encounter. *Other duties as assigned<p></p><p><b>
Qualifications:</b></p><p></p>
*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. *Requires general knowledge of the customer encounter process which may include registration, contract requirements, and coordination of benefits. *Knowledge in Microsoft Office Products. *Demonstrated strong keyboarding skills, ensuring efficient data entry and documentation. *Pass EPIC proficiency test required with a 85% score at completion of the Epic Training class. UPDATED 7/29/25<p></p><p>
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.</p><p><b><br>
Wellness</b><br>
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.</p><p><b><br>
Why work at Presbyterian?</b><br>
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.</p><p><b><br>
About Presbyterian Healthcare Services</b><br>
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.</p><p></p><p>
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.</p><p></p><p><i>
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.</i></p><p></p><h1 class="jobSectionHeader"><b>
We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services</b></h1></div><p></p>

Patient Access Account Specialist I-ABQ

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