Build your Career. Make a Difference. Presbyterian is hiring a skilled Patient Access Account Specialist I. 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.
Type of Opportunity: PRN
Job Exempt: No
Job is based: Reverend Hugh Cooper Administrative Center
Work Shift: Varied Days and Hours (United States of America)
Responsibilities:
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.
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