patient registration specialist

INTEGRIS Health

<div><p>INTEGRIS Health Cardiovascular Physicians, Oklahoma&rsquo;s largest not-for-profit health system has a great opportunity for a Scheduling Specialist in Oklahoma City, OK. In this position, you&rsquo;ll work Monday &ndash; Friday Days with our 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.</p><p></p><p><br>
The Scheduling Specialist is responsible for the provision of routine scheduling and patient access activity for ancillary, diagnostic, or surgical procedures as assigned to facilitate efficient operations, expeditious reimbursement and optimal customer satisfaction and employee satisfaction.</p><p>
INTEGRIS is an Equal Opportunity/Affirmative Action Employer.</p><p>
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.</p><p>
The Scheduling Specialist responsibilities include, but are not limited to, the following:</p><ul><li>
Performs routine scheduling and registration activity including fielding incoming scheduling calls, scheduling patients with the required minimum data set elements including clinical information, verifying patient demographic information, processing point of service payments, providing patients with general preparation instructions, document imaging and following documentation standards to facilitate efficient patient access according to assigned protocol.</li><li>
Performs routine 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>
Demonstrates the ability to multi-task between heavy phone volume and work under time pressure while interacting in a professional, helpful, and courteous manner with patients and all departments and caregivers within the health system.</li><li>
Resolves routine patient issues and assists with questions on reimbursement.</li><li>
Makes outbound and/or 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>
Handles all communication effectively, including telephone, email, and verbally with all departments and caregivers within the health system.</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>
Demonstrates 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><br>
<p></p><ul><li>
1 year of Patient Access operations activities (scheduling/registration/insurance) or related experience (billing, collections, customer service).</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 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>
<b>INTEGRIS Health mission:</b> Partnering with people to live healthier lives.</div><div><br>
<br>
<p>To our patients, that means we will partner to provide unprecedented access to quality and compassionate health care. To you, it means some of the state's best career and development opportunities. With INTEGRIS Health, you will have a genuine chance to make a difference in your life and your career.</p><p>
INTEGRIS Health is the state's largest Oklahoma-owned health system with hospitals, rehabilitation centers, physician clinics, mental health facilities and home health agencies throughout much of the state.</p></div></div>

Scheduling Specialist - Cardiology Outpatient Clinic

<div><p>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.</p><p></p><p><br>
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.</p><p>
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.</p><p>
The Patient Access Specialist responsibilities include, but are not limited to, the following:</p>
<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>
<p>Reports to assigned supervisor.</p>
<p>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.</p>
<p>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.</p>
<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

Covenant Health

<div>Overview:<div></div><div><b><br>
Patient Access Specialist</b></div><div><b>
Part Time, 48 Hours Per Pay Period, Day Shifts</b></div><div></div><div><b><br>
Covenant Health Overview:</b></div><div>
Covenant Health is the region&rsquo;s top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area&rsquo;s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area&rsquo;s largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes &ldquo;Best Employer&rdquo; seven times.</div><div></div><div><b><br>
Position Summary:</b></div><div>
The Patient Access Specialist coordinates the verification, scheduling, and pre-registration of all outpatient diagnostic procedures, as defined under the Centralized Scheduling Department&rsquo;s purview. Responsibilities include the accurate collection and entry of required financial and demographic patient information, scheduling queue management, verification of benefits, scheduling, and payment collection.</div><br>
<div></div>
Responsibilities:
<ul><li>Collects patient payment of financial responsibility over the phone, provides receipt of payment to patient, and documents payment as outlined in the department&rsquo;s workflow</li><li>
Recommends to the Supervisor modifications to existing policies and procedures that support Covenant Health&rsquo;s values and are intended to increase efficiency and promote data integrity</li><li>
Notifies the Supervisor/Financial Counselor of any potential self-pay patient, worker&rsquo;s compensation patient, or non-covered procedures</li><li>
Schedules diagnostic procedures utilizing the eCare (Cerner) scheduling system</li><li>
Verifies all orders are completed and signed</li><li>
Verifies insurance benefits and verifies pre-certification from third-party payers</li><li>
Has extensive knowledge of insurance plan and pre-certification requirements</li><li>
Accurately documents relevant demographic, clinical, and financial information required for scheduling, pre-registration, and insurance verification using eCare (Cerner), TransUnion, and STAR</li><li>
Attempts to collect payment of financial responsibility for all patients to improve overall collections and cash flow</li><li>
Reports pertinent procedural changes/updates to appropriate leadership</li><li>
Professionally interacts with patients, providers, office staff, and hospital department staff members</li><li>
Demonstrates ability to keep up with regulatory and insurance requirements, ensuring that changes are incorporated into daily job functions</li><li>
Ensures the scheduling process is handled in a professional and courteous manner</li><li>
Schedules on average 25 appointments per day</li><li>
Clearly communicates all necessary information to patients, e.g. clinical preps as outlined in the eCare scheduling guidelines, ABNs, financial responsibility, etc.</li><li>
Recognizes situations that necessitate managerial intervention and seeks out appropriate resources</li><li>
Promotes good public relations for the department and the organization</li><li>
Attends monthly staff meetings and participates in discussions regarding work performance and departmental/hospital updates</li><li>
Displays competence in the use of all IT Systems related to insurance verification, scheduling, patient registration, and scheduling</li><li>
Monitors appointment schedules daily for cancellations, reschedules, stats, or other changes; communicates with all departments impacted</li><li>
Shows initiative to cross-train in all duties related to departmental functions</li><li>
Activates manual systems for computer network downtime, printing schedules in advance when necessary</li><li>
Notifies leadership of unscheduled downtime occurrences</li><li>
Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.</li></ul>
Qualifications:
<div><b>
Minimum Education:</b>
</div><div>None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing a Bachelor&rsquo;s degree in a directly-related field from an accredited college or university.</div><div></div><div><b><br>
Minimum Experience:</b>
</div><div>Experience in hospital setting or financial area required.</div><div><br>
</div><div><b>Licensure Requirement:</b>
</div><div>None</div></div>

PATIENT ACCESS SPECIALIST

Ascend Vision Partners

<div>Description:
<p>
 <b>Our Mission is to deliver best-in-class ophthalmic and optometric care.</b></p><p>
Team members are hired to assist the organization in building a differentiated integrated eye care platform focused on superior patient care delivered through our network of optometrists and ophthalmologists. Team members are expected to a behavior of professionalism, which includes but is not limited to, acting with integrity and accountability, support our clinicians in all aspects of patient care delivery, support a culture of respect, diversity and inclusion in our organization, and enhance the patient access to primary and specialty eye care. Our vision is to create an admired healthcare company dedicated to delivering personalized eye care with outstanding patient outcomes.</p><p><b>
GENERAL SUMMARY:</b></p><p>
The Patient Services Specialist is responsible to create a positive patient experience by consistently exceeding expectations in customer service and patient care, by coordinating and completing patient registration activities that include but are not limited to greet and check in patients, verifying demographic information, obtaining signatures on patient consents, capturing insurance cards, verifying authorization accuracy, collect co-pays and past due balances, working reschedule and recall lists, and balance end of day deposits.</p><p><b>
ESSENTIAL DUTIES &amp; RESPONSIBILITIES:</b></p><ul><li>
Provides high level customer service in all interactions with internal and external customers.</li><li>
Provides direct, professional, and knowledgeable interactions with patients, providers, referral sources, and the clinical team.</li><li>
Answers telephone calls accurately and with exceptional customer service and ensures the caller&rsquo;s needs are met and accurate information is obtained.</li><li>
Maintains patient confidentiality regarding access to patient and other clinical information via email, computer, fax, and mail.</li><li>
Addresses concerns of patients, provides service recovery, and escalates issues as needed.</li><li>
Utilizes the operational guidelines for scheduling patient appointments.</li><li>
Completes reminder calls to patient for scheduled appointments, as needed.</li><li>
Obtains payment from each patient, including copayments, balance due and appropriately receipts all monies collected.</li><li>
Verifies, ensures eligibility, and registers patients by obtaining patient demographics and third-party coverage(s) at every encounter.</li><li>
Advises patient on physician referral and provides appropriates notes/updates to referring physician, as needed.</li><li>
Prioritizes and completes all work in an accurate, effective, and efficient manner.</li></ul><p><b>
NON-ESSENTIAL DUTIES &amp; RESPONSIBILITIES:</b></p><ul><li>
Maintains public areas (waiting rooms, restrooms and kitchen), as needed.</li><li>
Attends department meetings and completes trainings, as needed.</li><li>
Processes medical records requests; both incoming and outgoing</li></ul>
Requirements:
<p><b>
EDUCATION AND EXPERIENCE REQUIRED:</b></p><ul><li>
High School diploma or equivalent, required.
</li></ul><p><b>EDUCATION &amp; EXPERIENCE PREFERRED:</b></p><ul><li>
N/A</li></ul><p><b>
LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:</b></p><ul><li>
N/A</li></ul><p><b>
LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:</b></p><ul><li>
Certified Patient Services Specialist</li></ul><p><b>
CORE COMPETENCIES:</b></p><ul><li>
Ability to work effectively with internal and external customers.</li><li>
Excellent verbal and written communication skills, including listening.</li><li>
Proficient in Microsoft Office products.</li><li>
Ability to maintain confidentiality when dealing with sensitive information.</li></ul><p><b>
PHYSICAL ACTIVITY OF POSITION:</b></p><ul><li>
Talking. This position requires expressing or exchanging ideas through the spoken word. This position must participate in activities to convey detailed or essential verbal instructions to physicians, staff, and vendors accurately and succinctly.</li><li>
Hearing. This position is required to perceive sounds at normal speaking levels with or without correction, including the ability to receive detailed information through oral communication and make the discriminations in sound.</li><li>
Repetitive motion. This position requires substantial movements (motions) of the wrists, hands, and fingers while working on reports or the computer.</li><li>
Sedentary work. This position may need to occasionally exert up to 10 pounds of force to lift, carry, push, pull, or otherwise move objects. The job consists primarily of sedentary work and involves sitting most of the time. Walking and standing are required only occasionally.</li><li>
Visual Requirements. This position is required to have close visual acuity (with or without correction) to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; and extensive reading.</li><li>
Environmental Conditions. This position is not substantially exposed to adverse environmental conditions (such as in typical office work.)</li></ul></div>

Patient Services Specialist/Front Desk

Effingham Health System

<div>Description:
<p><b>
JOB SUMMARY</b></p><p>
Under the general direction of the Practice Manager and the Executive Director of Physician Practice, the Patient Access Representative will provide assistance to non-emergent patients as well as perform the registration for patients presenting for services, maintain documentation, verify insurance, accept payments, in accordance with The Joint Commission, federal, state, and local guidelines, organizational and departmental policies and procedures. Communication with medical staff, other departments, and outside agencies while maintaining confidentiality is required. Position requires self-motivation, creativity, and capabilities to function in a semi-autonomous role within a fast-paced and dynamic environment.</p><p><b>
STANDARDS OF PERFORMANCE</b></p><ul><li>
Performs registration for all patients presenting for service.</li><li>
Obtains, inputs, and transcribes accurate patient data.</li><li>
Completes necessary forms including proper documentation/signatures, insurance information, either on paper or on scanner.</li><li>
Enters data into the computer with minimal errors.</li><li>
Performs as a cashier for payments and maintains cash receipts with accuracy.</li><li>
Meets non-emergent patients to discuss treatment options and financial options.</li><li>
Assesses insurance status. Verifies insurance benefits. Calculates and collects appropriate deductibles and/or co-insurance from patients on services rendered or to be rendered.</li><li>
Obtain payment of applicable co-payments and/or deductibles according to health plans.</li><li>
Discusses with uninsured patients their financial obligations and referral options as per policy.</li><li>
Will navigate through the Availity or Ability software systems to obtain patient&rsquo;s financial responsibility.</li><li>
Sets up financial agreement according to hospital guidelines for any balance due.</li><li>
Explains Helping Hands program option, if applicable.</li><li>
Scan of all records into electronic medical records.</li><li>
Provides Advance Directives information to all patients as per hospital policy/procedure.</li><li>
Act as an ambassador for the facility by interacting with clients, family members, and staff in a friendly caring manner.</li><li>
Requires completion of Insurance Billing Specialist and Insurance Billing Certification course with Hometown Health.</li><li>
Ensures adherence to proper infection control, OSHA and safety standards.</li><li>
Performs other duties as assigned/needed/required.</li><li>
Provides support for other team members when needed.</li></ul>
Requirements:
<p><b>
Minimum Level of Education: </b>Education level equivalent to completion of High School is required. Completion of a Patient Access or Financial Services-specific to Healthcare curriculum or equivalent is highly preferred.</p><p><b>
Formal Training:</b> None Required.</p><p><b>
Licensure, Certification, Registration: </b>None Required. Will be required to attain Hometown Health Certification in Financial Counseling by the 90-day review.</p><p><b>
Work Experience: </b>Working knowledge of health insurance, deductibles, co-pays, and co-insurance required. Minimum of twenty-four months (2 years) experience in customer service, patient registration, and collections preferred. The job requires a comfort level without of pocket collections activities, as well as a thorough understanding of the accuracy needed for the capture of demographic and third-party payer information.</p></div>

Patient Access Representative (Medical Office Building)

<div><p>INTEGRIS Health Cardiovascular Physicians, Oklahoma&rsquo;s largest not-for-profit health system has a great opportunity for a Patient Access Specialist Sr in Oklahoma City, OK. In this position, you&rsquo;ll work Monday &ndash; Friday Days with our 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.</p><p></p><p><br>
The Patient Access Specialist Sr. 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 patient's coverage eligibility and benefits, patient's financial liability, INTEGRIS Health's billing practices and policies.</p><p>
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.</p><p>
The Patient Access Specialist Sr. responsibilities include, but are not limited to, the following:</p>
<ul><li>Ensures the appropriateness of complex registration activity including scheduling, verifying patient demographic information, processing point of service payments, obtaining signatures for required consent paperwork, document imaging and following documentation standards to facilitate efficient patient access according to assigned protocol</li>
<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>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 accounts 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.</li>
<li>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>Acts as a liaison to resolve complex patient access and account issues, responds to questions on reimbursement and serves as a resource and systems expert for patient access specialists, including on-the-job training, and for performance improvement and appropriateness of complex patient access transactions.</li>
<li>Provides guidance, feedback and training to staff on multiple processes, payers and systems, and monitors assignments and assess productivity.</li>
<li>Handles all communication effectively, including telephone, email, and verbally with all departments and caregivers within the health system.</li>
<li>Initiates and coordinates the implementation of team-oriented process improvement initiatives for the department and organization.</li>
<li>Initiates and coordinates continuous quality improvement efforts, establishes goals with supervisors, tracks progress, and prepares data for presentation.</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>Reports to assigned supervisor.</li>
<li>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.</li>
<li>Normal office conditions. 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.</li>
</ul><ul><li>4 years 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>Bachelor's degree in related field or Healthcare Certification (AAHAM CRCS, HFMA CRCR, NAHAM CHAA) preferred</li>
<li>Previous experience with Microsoft Office programs and experience with admission/discharge/transfer or billing/claims management software</li>
<li>Previous experience with medical terminology, basic ICD 10 and CPT coding healthcare program reimbursement and methodologies</li>
<li>Previous experience in 3+ of the following: scheduling, registration, insurance (including Medicare, Medicaid, and third-party regulations), billing, collections, and customer service in either a hospital or physician's office setting</li>
<li>Must be able to communicate effectively with others in English (verbal/written).</li>
</ul><div><b>INTEGRIS Health mission:</b> Partnering with people to live healthier lives.</div><div><br>
<br>
<p>To our patients, that means we will partner to provide unprecedented access to quality and compassionate health care. To you, it means some of the state's best career and development opportunities. With INTEGRIS Health, you will have a genuine chance to make a difference in your life and your career.</p><p>
INTEGRIS Health is the state's largest Oklahoma-owned health system with hospitals, rehabilitation centers, physician clinics, mental health facilities and home health agencies throughout much of the state.</p></div></div>

Patient Access Specialist Sr - Cardiology Registration Department

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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