patient access specialist

Ensemble Health Partners

<div>Thank you for considering a career at Ensemble!
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:<ul><li>
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.</li><li>
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.</li><li>
Striving for Excellence: Execute at a high level by demonstrating our &ldquo;Best in KLAS&rdquo; Ensemble Difference Principles and consistently delivering outstanding results.</li></ul>
The Opportunity:
CAREER OPPORTUNITY OFFERING:<ul><li>
Bonus Incentives</li><li>
Paid Certifications</li><li>
Tuition Reimbursement</li><li>
Comprehensive Benefits</li><li>
Career Advancement</li><li>
This position pays between $18.65 - $19.90/hr based on experience</li></ul>
***This position is an onsite role, and candidates must be able to work on-site at Bon Secours - Harbour View Medical Center in Suffolk, VA****
The Senior Patient Access Specialist is responsible for performing admitting duties for all patients receiving services at Ensemble Health Partners. Additional duties can include training, scheduling, and other senior-level responsibilities. They are responsible for performing these functions while meeting the mission of Ensemble Health Partners and all regulatory compliance requirements. The Senior Patient Access Specialist will work within the policies and processes that are being performed across the entire organization.
Essential Job Functions:<ul><li>
Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity or compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician order while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey. They will serve as the SMART for the department. They are to adhere to Ensemble Health Partners policies and provide excellent customer service in these interactions with the appropriate level of compassion. Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.</li><li>
Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities.</li><li>
A Senior Patient Access Specialist is responsible for the development of training materials and programs for new hires to the department, as well as providing continuing education to associates in all areas of the revenue cycle.</li><li>
A Senior Patient Access Specialist is responsible for the development of staff schedules within the patient access department.</li><li>
A Senior Patient Access Specialist will have on-call responsibilities for the department, including providing after-hours support and guidance. As part of on-call responsibilities, the Senior Patient Access Specialist may be responsible for working unscheduled times to cover staffing issues.</li><li>
Senior Patient Access Specialist are responsible for the collection of point of service payments. These activities may be conducted in emergency, outpatient, and inpatient situations including past due balances and offering payment plan options The Patient Access Specialist is expected to adhere to Ensemble Health Partners policies and provide excellent customer service in these interactions. Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access Leadership. Senior Patient Access Specialists will be held accountable for point of service goals as assigned.</li><li>
Explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness&rsquo;s name. Explains and distributes patient education documents, such as Important Message from Medicare, Observation Forms, Consent forms, and all forms implemented for future services.</li><li>
Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate including pre-registration of patient accounts prior to the patient visit which may include inbound and outbound calls to obtain demographic information, insurance information, and all other patient information.</li><li>
Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.</li><li>
Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.</li></ul>
Job Experience:<ul><li>
1 to 3 Years</li><li>
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.</li></ul>
Education Level:<ul><li>
Associate degree or Equivalent Experience</li></ul>
Other Preferred Knowledge, Skills, and Abilities:<ul><li>
Understanding of Revenue Cycle including admission, billing, payments, and denials.</li><li>
Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.</li><li>
Knowledge of Health Insurance requirements. Knowledge of medical terminology or CPT or procedure codes</li></ul>
Join an award-winning company
Five-time winner of &ldquo;Best in KLAS&rdquo; 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024<ul><li>
Innovation</li><li>
Work-Life Flexibility</li><li>
Leadership</li><li>
Purpose + Values</li></ul>
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:<ul><li>
Associate Benefits &ndash; We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.</li><li>
Our Culture &ndash; Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
</li><li>Growth &ndash; We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.</li><li>
Recognition &ndash; We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.</li></ul>
Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role&rsquo;s range.
Employment Disclaimers &ndash; Ensemble</div>

Senior Patient Access Specialist

INTEGRIS Health

<div>INTEGRIS Health, Oklahoma&rsquo;s largest not-for-profit health system has a great opportunity for a Patient Access Specialist in Woodward, OK. In this position, you&rsquo;ll work Full Time Days 5:30am-5:30pm with our Patient Registration team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health. 
The Patient Access Specialist is responsible for the provision of patient access activity for ancillary, diagnostic, surgical and emergency services as assigned to facilitate efficient operations, expeditious reimbursement and optimal customer satisfaction and employee satisfaction. Acts as a liaison between INTEGRIS and patients, providers, and payers for all pre-care matters related to account resolution. Provides information regarding the patients coverage eligibility and benefits, patients financial liability, INTEGRIS Health's billing practices and policies. Assists patients in understanding coverage benefits and coverage terminology.
INTEGRIS is an Equal Opportunity/Affirmative Action Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.
The Patient Access Specialist responsibilities include, but are not limited to, the following:
<ul><li>Ensures the appropriateness of complex patient access transactions including coverage eligibility, insurance verification, patient portion calculation and authorization requirement activity utilizing available systems and resources according to assigned protocol</li>
<li>Performs financial counseling activity including screening for government programs and financial assistance, payment options and arrangements, processing point of service payments, verifying patient demographic information, obtaining signatures for required paperwork, document imaging and following documentation standards to facilitate efficient patient access according to assigned protocol</li>
<li>Possesses the ability to use analytical thinking, independent judgment, and clinical knowledge to adjust service area schedules and accommodate special requests from internal and external customers</li>
<li>Accepts inbound phone calls from patients, physician offices, insurance carriers, etc. with the intent to resolve the concern immediately.</li>
<li>Collects patient payments and follows levels of authority to ensure financial clearance</li>
<li>Documents all patient account activities concisely, including authorization and patient liability requirements</li>
<li>Performs filing, data entry, and other duties as assigned.</li>
<li>Responds promptly to patient inquiries regarding pre-care services, policies, coverage, benefits and financial liability * Utilizes multiple resources to resolve patient or payor inquiries while on the phone or preparing/reviewing patient accounts or prior authorization requirements</li>
<li>Understands different payer regulations and can communicate effectively with patients regarding their coverage benefits and financial liability</li>
<li>Participates in team-oriented process improvement initiatives for the department and organization</li>
<li>Participates in continuous quality improvement efforts, establishes goals with supervisors and tracks progress</li>
<li>Interprets and maintains compliance with performance standards, federal and state regulations including EMTALA and HIPAA, policies, procedures, guidelines, and third-party contracts</li>
<li>Follows all safety rules while on the job, reports accidents promptly and corrects minor safety hazards</li>
</ul>
Reports to assigned supervisor.
This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information. Potential for exposure to infections and communicable diseases, blood and body fluids, electrical equipment, chemicals. Must follow standard precautions.
All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.
<ul>
<li>1 year of Patient Access operations activities (scheduling/registration/insurance) or related experience (billing, collections, accounts receivables)</li>
<li>Previous experience in one of the following: scheduling, registration, insurance, billing, collections, and customer service in either a hospital or physician's office setting</li>
<li>May consider successful completion of 1100+ related Career Tech program or one year of college coursework in a related field in lieu of experience</li>
<li>College coursework in related field or Healthcare Certification (AAHAM CRCS, HFMA CRCR, NAHAM CHAA) preferred</li>
<li>Previous experience should include utilizing standard office equipment and PC software</li>
<li>Previous experience with medical terminology, basic ICD 10 and CPT coding preferred</li>
<li>Must be able to communicate effectively with others in English (verbal/written)</li></ul></div>

Patient Access Specialist - Days - Woodward

Naven Health, Inc

<div>Extraordinary Careers. Endless Possibilities.
With the nation&rsquo;s largest home infusion provider, there is no limit to the growth of your career.
 Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members.
Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you&rsquo;re empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.
Job Description Summary:
The Patient Access Specialist supports patients referred to Option Care Health to receive Specialty Infusion Services by coordinating referrals, intake documentation, and cross-functional communication to ensure a seamless transition into care.
 
 
This role partners closely with referral sources, sales, pharmacy, nursing, and internal teams to support timely access to therapy while delivering a consistent, high-quality experience for patients and referral partners.
Job Description:
Job Responsibilities<ul><li>
Engages with patient, referral source, sales, pharmacy, and nursing to coordinate discharge and secure nursing and delivery.</li><li>
Creates, communicates and obtains all required documentation for new referrals.</li><li>
Secures patient&rsquo;s upfront payment including assisting patients to find avenues for payment where needed (identifies opportunities and directs patient to financial assistance program).</li><li>
Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing).</li><li>
Assist Supervisor and Manager with special assignments as needed.</li></ul>
Supervisory Responsibilities
Does this position have supervisory responsibilities? NO
(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)
Basic Education and/or Experience Requirements
High school diploma or equivalent is required.
Minimum of two years of experience in related experience required.
Basic Qualifications
Ability to multi-task and support numerous referrals/priorities at one time.
Ability to work in a fast past environment.
Must be detail-oriented and have a high degree of quality focus.
High degree of customer service skills required.
Ability to trouble shoot, problem solves and collaborate with cross-functional team members across sales and operation functions.
Travel Requirements
N/A
Preferred Qualification &amp; Interests
Previous healthcare/medical billing experience preferred.
May perform other duties as assigned
Due to state pay transparency laws, the full range for the position is below:
Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.
Pay Range is $22.55-$32.63
Benefits:<ul><li>Medical, Dental, &amp; Vision Insurance</li><li>Paid Time off</li><li>Bonding Time Off</li><li>401K Retirement Savings Plan with Company Match</li><li>HSA Company Match</li><li>Flexible Spending Accounts</li><li>Tuition Reimbursement</li><li>myFlexPay</li><li>Family Support</li><li>Mental Health Services</li><li>Company Paid Life Insurance</li><li>Award/Recognition Programs</li></ul>
Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.</div>

Patient Access Specialist - California REMOTE

St. Elizabeth Physicians

<div>Job Type:
Regular
Scheduled Hours:
40
Job Summary:
Reports to the Clinical Patient Access Manager or Patient Access Manager, the Clinical Patient Access Specialist is primarily responsible for relaying reviewed normal, expected, or abnormal results to patients and additionally following any Standard work development instructions as determined by the Clinical Patient Access Specialist Manager. The Clinical Patient Access Specialist will successfully manage large amounts of inbound calls while ensuring all pertinent medical information and care needs for patients are identified, documented, and communicated to the provider. The Clinical Patient Access Specialist is always responsible for creating a positive impression with patients, family members and other callers.
Job Description:
Job Title: Clinical Patient Access Specialist- Call Center (MA, LPN EMT Required)
BENEFITS:<ul><li>
Work from Home Opportunity after training (Equipment Provided)</li><li>
Paid Time Off</li><li>
Medical, Dental, and Vision</li><li>
403b with Match</li><li>
Opportunity for Growth</li></ul>
DUTIES AND RESPONSIBILITIES:<ul><li>
Understand and uphold SEP&rsquo;s Mission, Vision, and Values.</li><li>
Comply with all applicable laws and regulations.</li><li>
Comply with all applicable laws and regulations.</li><li>
Comply with scheduling of patients and release of medical information processes to stay compliant with OSHA/CLIA/HIPAA.</li><li>
Accurate documentation in the EMR.</li><li>
Provide instructions and results to patients under directions of the providers.</li><li>
Communicates as needed with offices about any patient concerns/issues related to results.</li><li>
Schedules appointments for patients based on the criteria outlined in the office scheduling preference cards and/or decision trees</li><li>
Maintains an effective working relationship with team members, members of medical practice and leadership.</li><li>
Verifies and updates all patient demographic and insurance information.</li><li>
Provide information and communicate effectively to resolve issues with patients, providers, other associates, management and insurance companies.</li><li>
Advises patients of outstanding balances.</li><li>
Ensures accurate and timely distribution of patient requests.</li><li>
Advises patients of outstanding balances.</li><li>
Ensures accurate and timely distribution of patient requests</li><li>
Works with central billing office and physicians/clinicians as needed in a timely manner on all requests.</li><li>
Other duties and responsibilities as assigned.</li></ul>
EDUCATION:
Minimum: Active certification or license of LPN, CMA, RMA, EMT.
YEARS OF EXPERIENCE:
Minimum: One year of experience in area of certification in a clinical setting.
LICENSES AND CERTIFICATIONS:
An approved credential such as LPN, CMA, RMA, EMT.
FLSA Status:
Non-Exempt
Right Career. Right Here. If you have a passion for taking care of the community and are interested in Healthcare, you will take pride in the level of care we provide at St. Elizabeth. We take care of patients and each other.
St. Elizabeth Physicians is an equal opportunity employer and will not discriminate on the basis of race, color, sex, religion, national origin, ancestry, disability, age or any other characteristic that is protected by state or federal law.</div>

Clinical Patient Access Specialist- MA, LPN EMT Required

UVA Health

Performs Patient Access functions of a specialized nature through the application and interpretation of policies and procedures and requiring the use of independent judgment in a medical setting. This includes mastery of registration insurance scheduling and billing/POS collections (OLJ) in multiple locations which include varying clinical demands as well as registration criteria. Additionally Patient Access Specialists are the first line of dialogue about Financial Assistance through financial screening. Offer financial screening with a mini screening at registration and refer to the Financial Coordinators for financial counseling support and screening.
 
Demonstrates exceptional customer service both for in-person and telephone activities.
 Demonstrates expected behaviors applicable to the Medical Center and Revenue Cycle access systems and policies procedures and guidelines.
 Receives funds issues receipts balances cash journals and makes deposits.
 Maintains current working knowledge; adheres to Revenue Cycle policies and procedures; performs problem-solving activities.
 Performs area-specific support activities.
 Demonstrates engagement in the work team and goals of the Revenue Cycle.
 
In addition to the above job responsibilities, other duties may be assigned.
 
Please submit résumé with application.
 
MINIMUM REQUIREMENTS
 
Education: High School Graduate or Equivalent.
 Experience: No experience required.
 Licensure: None required.
 
PHYSICAL DEMANDS
 
This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings, and programs.
 
The starting base rate for this role is $17.50 hourly. Individual compensation will be determined by the selected candidate's qualifications, previous work experience, and/or education.
 
Benefits
 
Comprehensive Benefits Package: Medical, Dental, and Vision Insurance
 
Paid Time Off, Long-term and Short-term Disability, Retirement Savings
 
Health Saving Plans, and Flexible Spending Accounts
 
Certification and education support
 
Generous Paid Time Off
 
UVA Health is a world-class Magnet Recognized academic medical center and health system with a level 1 trauma center. 2023-2024 U.S. News & World Report “Best Hospitals” guide rates UVA Health University Medical Center as “High Performing” in 5 adult specialties and 14 conditions/procedures. We are one of 70 National Cancer Institute designated cancer centers. UVA Health Children’s is named by 2023-2024 U.S. News & World Report as the best children's hospital in Virginia with 9 specialties ranked among the best in the nation. Our footprint also encompasses 3 community hospitals and an integrated network of primary and specialty care clinics throughout Charlottesville, Culpeper, Northern Virginia, and beyond.
 
The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA’s commitment to non-discrimination and equal opportunity employment .

Patient Access Specialist - Revenue Cycle Pipeline

UCHealth

<div>Location: UCHealth UCHlth Poudre Valley Hospital, US:CO:Fort Collins 
 
Department: SYS Patient Access 
 
Work Schedule: Part Time, 40.00 hours per pay period (2 weeks)
 
 
Shift: Weekend Days
 
 
Pay: $19.67 - $25.57 / hour. Pay is dependent on applicant's relevant experience 
 
This position is an onsite role and does not offer a hybrid or remote option 
 
Summary: 
Receptionist, registration, and clerical duties associated with registering patient for services. 
 
Responsibilities: 
<ul><li>
Meets with patient and/or patient's caregiver to exchange necessary information and documentation. Provides explanation of visit, instructions, and addresses concerns and questions.</li><li>
Verifies insurance benefits and obtains pre-certification/authorization as necessary</li><li>
Escort and transport patients and visitors within facility, which may include a wheelchair or oxygen tank.</li><li>
Determines and accepts required payments, including co-pays and deductibles, or refers to financial counselors for follow up. Ensures that all necessary demographic, billing, and clinical information is obtained and entered in the registration system with timeliness and accuracy.</li><li>
Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.</li></ul> 

Requirements: 
<ul><li>
High school diploma or GED</li></ul> 
Employees are our number one asset. 
 
UCHealth promotes a culture that invests in professional success and personal well-being through a comprehensive total rewards program. * 
 
Recognition 
<ul><li>
Performance bonus: UCHealth offers a 3-Year Incentive Bonus to recognize employee contributions to our success in quality, patient experience, organizational growth, financial goals and tenure. The bonus accumulates annually each October and is paid out in October during the third year of employment.</li><li>
Performance-based pay increase: The Annual Merit Pay Increase recognizes work performance that meets or consistently exceeds performance standards documented through UCHealth's established evaluation process and accounts for increased experience, skills and cost of living.
</li><li>Market reviews: All UCHealth positions are reviewed annually to ensure UCHealth base pay aligns with market standards. Base pay rates are adjusted as needed to stay market competitive.
</li></ul> 
Health and well-being 
<ul><li>
Medical, dental and vision coverage.</li><li>
Access to 24/7 mental health and well-being support for employees and dependents.</li><li>
Discounted gym memberships and fitness resources.</li><li>
Free Care.com membership.</li><li>
Voluntary benefits such as accident insurance, critical illness insurance, group legal plan, identity theft protection, pet insurance, auto and home insurance, and employee discount programs.</li><li>
Time away from work: Paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence.</li><li>
Employer-provided basic life and accidental death and dismemberment coverage with buy-up coverage options.</li><li>
Employer-provided short-term disability and long-term disability with a buy-up coverage option.</li></ul> 
Retirement and savings 
<ul><li>
403(b) plan with employer matching contribution.</li><li>
Additional 457(b) plan may be available.</li><li>
Flexible spending accounts for health care and dependent day care; health savings account available when enrolled in high-deductible (HD) medical plan.</li></ul> 
Education and career growth 
<ul><li>
UCHealth provides access to academic degrees and certificate programs to promote professional and personal growth.</li><li><ul><li>
Up to 100% of tuition, books and fees paid for by UCHealth for specific educational degrees.
</li><li>Other programs may qualify for up to $10,000/year pre-paid by UCHealth or up to $5,250/year in the form of tuition reimbursement.
</li></ul></li><li>Access to LinkedIn Learning, which offers thousands of virtual courses and seminars, and internal professional development opportunities.
</li><li>Employees have access to free assistance navigating the Public Service Loan Forgiveness program and submitting their federal student loans for forgiveness.</li></ul> 
<ul><li>Eligibility for some programs is based on an employee's scheduled work hours.
</li></ul> 
We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.
 
 
UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified. 
 
UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when the do not impose an undue hardship on the organization. 
 
Who We Are (uchealth.org)</div>

Patient Access Registration Specialist

Presbyterian Healthcare Services

<div>Location Address:
9521 San Mateo NE Albuquerque, NM 87113-2237

Compensation Pay Range:
Minimum Offer $15.60 Maximum Offer $22.12 Now Hiring: Patient Access Account Specialist I-ABQ
Summary:
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)

Responsibilities:
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
Qualifications:
*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
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. 
Wellness 
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. 
Why work at Presbyterian? 
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. 
About Presbyterian Healthcare Services 
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.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.<h1 class="jobSectionHeader">
We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services</h1></div>

Patient Access Account Specialist I-ABQ

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