Patient Access Advocate II-ED

Overview

Now hiring a Patient Access Advocate II-ED

The Patient Access Advocate II provides registration of patient accounts for government and commercial accounts on date of service for scheduled and unscheduled visits. Perform registration functions, including updating of demographics, insurance verification, authorizations, collection of point of service liabilities and documentation of benefit analysis and registration information within the ADT system. Confirm and follow up on authorization for scheduled visits and make certain account being registered has accurate information to ensure clean billing. Provide coverage to other areas as needed to minimize overtime and guarantee the patients receive services as needed without registration delays. Must possess a strong knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access. Monitor accounts to identify any duplications and correct prior to patient receiving services to ensure patient safety. Provide the highest level of customer service to patients/family at time of service through registration interactions as well as providing wayfinding to patients and/or visitors.

How you belong matters here.

We value our employees' differences and find strength in the diversity of our team and community.

At Presbyterian, it's not just what we do that matters. It's how we do it - and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.

Why Join Us

• Full Time - Exempt: No
• Job is based at Presbyterian Kaseman Hospital
• Work hours: 12 Hour Nights
• Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employees.
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Ideal Candidate: 1 years of work experiences in Patient Access and/or billing, plus strong customer service background.

Qualifications

• High school diploma or GED required.
• 1 years of work experiences in Patient Access and/or billing, plus strong customer service background.
• Completion and passing of Patient Access Advocate II Advancement test. Can be taken every 6 months once experience guidelines have been met.
• CHAA, CHAM or other industry equivalent certification preferred
• Strong understanding of insurance and financial processing of accounts.
• Basic understanding of medical terminology and billing codes (DRG, ICD-10, CPT, HCPCS)
• Proficient in EPIC ADT system
• Requires general knowledge of the customer encounter process which may include registration and healthcare practices, financial guidelines, and coordination of benefits.
• Ability to work independently, self-directed and work with individuals with diverse background.
• Effective communication skills.
• Analytical and problem solving skills
• Knowledge in Microsoft Office Products
• Having completed or completion of 2 week Patient Access Academy with a passing score of 85% or higher.
• Pass annual competency exam for all areas of responsibility.
• Attend Staff meetings
• Attend Employee Forums

Responsibilities

• Customer Service and Caring Practices:
• Ability to provide 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 at time of service through account review. to alleviate patient concerns over hospital financial mattersEncounter 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 information, not obtained during pre-registration/financial clearance process, necessary for account completion.
• Review Urgent/Emergent admission accounts for notification.
• 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