Patient Access Account Specialist Job - Albuquerque, NM 76609

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Baptist Health Floyd (Kentucky & Indiana) Founded in 1953, Baptist Health Floyd, formerly known as Floyd Memorial Hospital and Health Services, is a 225-bed, acute care regional healthcare provider with one of Southern Indiana’s most advanced comprehensive cardiac surgery programs. Part of nine hospital Louisville, Kentucky-based Baptist Health system, the hospital offers 69 points of care in a full continuum from inpatient care to rehab services to home care. Services include cardiac surgery, thoracic and vascular services, orthopedics, spine care, wound care, pain management, sleep care, a full range of women’s services including obstetrics, cancer care, diabetic treatment and weight management services. The cancer center’s breast program is the only program in Southern Indiana to be accredited by the National Accreditation Program for Breast Centers (NAPBC). The hospital is also designated Pathway to Excellence for excellence in nursing services by the American Nursing Credentialing Center. View Baptist Health Floyd Jobs

Baptist Health Care (Navarre, Florida) is a community-owned, not-for-profit health care organization based in northwest Florida that is committed to helping people throughout life’s journey. The organization is a proud member of the Mayo Clinic Care Network. A 2003 Malcolm Baldrige recipient, Baptist continuously strives to be a national leader in quality and service. Baptist Health Care includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, Footer link to Lakeview Center and a large network of primary care and specialty physicians. With more than 6,500 employees and employed physicians, Baptist Health Care is the second largest non-governmental employer in northwest Florida. View Baptist Health Care Navarre Jobs

Bayhealth (Delaware) Bayhealth’s mission is to strengthen the health of our community, one life at a time.
As central and southern Delaware’s largest healthcare system, Bayhealth is comprised of Bayhealth Hospital, Kent Campus and Bayhealth Hospital, Sussex Campus, the freestanding Emergency Department in Smyrna as well as numerous satellite facilities and employed physician practices encompassing a variety of specialties.
Bayhealth is a technologically advanced not-for-profit healthcare system with more than 4,000 employees and a medical staff of more than 400 physicians.
Bayhealth is an affiliate of Penn Medicine for Heart and Vascular, Cancer and Orthopedics.
In Fiscal Year 2020, Bayhealth recorded 96,820 emergency department visits, 18,574 patients admitted to beds, 2,241 births, and provided $68.16 million in unreimbursed care to patients. View Bayhealth Jobs

HonorHealth (Arizona) With an expansive network of more than 400 physicians and other providers serving patients in more than 70 locations across the Valley, HonorHealth Medical Group is delivering the care you want, when and where you need it most. With roots dating back to 1996, HonorHealth Medical Group delivers primary and specialty care as well as urgent care services. Physicians treat patients of all ages. You’ll find practice locations in the cities where you live, work and play, including Anthem, Cave Creek, Glendale, Mesa, Peoria, Phoenix, Scottsdale and Tempe.
Many HonorHealth Medical Group primary care practices have earned recognition as patient-centered medical homes by the National Committee for Quality Assurance. The distinction is granted only to primary care practices demonstrating the highest commitment to care coordination and communication. Both of these factors improve care quality while lowering costs. View HonorHealth Jobs

Legacy ER & Urgent Care pioneered retail healthcare in 2008, and was one of the nation’s first healthcare facilities to offer both urgent care and emergency room treatment options under one roof. Legacy is building an exceptional customer service program, with industry-leading ratings by providing transparent billing, and creating welcoming clinical environments with one-on-one access to board-certified, emergency-trained physicians. View Legacy ER & Urgent Care Jobs

Northwest Health (Bentonville, AR) With a combined active medical staff of more than 540 physicians, 2,200 employees and 487 beds, Northwest Health is one of the largest health networks in Northwest Arkansas with five hospitals: Northwest Medical Center – Bentonville, Northwest Medical Center – Springdale, Siloam Springs Regional Hospital, Northwest Health Physicians’ Specialty Hospital, and Willow Creek Women’s Hospital.
Northwest Health provides inpatient, outpatient, diagnostic imaging, medical, surgical and emergency services to the Bentonville, Springdale, Fayetteville, Johnson and Siloam Springs communities in northwestern Arkansas. We are your family, friends and neighbors, and we work with and for our community to provide quality healthcare that fits your life and lifestyle. View Northwest Health Jobs

OU Health At OU Medicine, their mission is leading health care. Their vision is to be the premier enterprise for advancing health care, medical education and research for the community, state and region. Through Their combined efforts they strive to improve the lives of all people.
Oklahoma University Medicine is comprised of the OU Medical Center, The Children’s Hospital, the OU Medical Center in Edmond, OK., and the OU College of Medicine. View OU Health Jobs

Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. Presbyterian is a locally owned, not-for-profit healthcare system of eight hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with more than 11,000 employees. View Presbyterian Healthcare Jobs

ProMedica (Maumee, OH) is a mission-based, not-for-profit health and well-being organization headquartered in Toledo, Ohio. It serves communities in 28 states. The organization offers acute and ambulatory care, an insurance company with a dental plan, and post-acute and academic business lines. The organization has more than 49,000 employees, 12 hospitals, 2,500+ physicians and advanced practice providers with privileges, 1,000+ healthcare providers employed by ProMedica Physicians, a health plan, and 335+ assisted living facilities, skilled nursing centers, memory care communities, outpatient rehabilitation clinics, and hospice and home health care agencies. Driven by its Mission to improve your health and well-being, ProMedica has been nationally recognized for its advocacy programs and efforts to address social determinants of health. For more information about ProMedica, please visit promedica.org/aboutus. View ProMedica Jobs

Riverview Health is comprised of a full-service, 156-bed hospital in Noblesville and a hospital in Westfield with 16 beds. Also included are 23 primary, immediate and specialty-care facilities in Hamilton County. Riverview Health provides comprehensive inpatient and outpatient services in more than 35 healthcare specialties and has been frequently recognized for its clinical and service excellence. National achievements include Healthgrades America's 100 Best Hospitals for Orthopedic Surgery award (2019) and Outstanding Patient Experience award (2017-2018). Leapfrog Group awarded Riverview Health an A grade—the highest grade possible—for patient safety in 2017. As one of the largest employers in Hamilton County, Riverview Health recently received the Five-Star AchieveWELL Award through the Wellness Council of Indiana and was honored at the 2017 Indiana Health and Wellness Summit. View Riverview Health Jobs

ShorePoint Health (Cape Coral, Florida), with locations throughout four counties, includes 774 licensed beds and more than 950 physicians on the combined active medical staff. The system of three hospitals saw nearly 63,000 emergency room visits in 2020 and nearly 24,000 inpatient admissions. View ShorePoint Health Jobs

Patient Access Account Specialist Job – Albuquerque, NM 76609

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Why You'll Love This Job

Break free of your boring work routine when you accept this unique Full Time Float Patient Access Account Specialist position with Presbyterian Healthcare Services!

The Patient Access Account Specialist displays extensive knowledge in the ED/UC registration process and is the Subject Matter Expert within the Patient Access Team. This role is responsible for providing backend support to all patient encounters to ensure accurate completion of accounts and a clean claim for billing. There are a wide range of duties in support of the Patient Access Team efficiencies which include but not limited to; monitoring work queues for financial clearance, obtaining missing information and documents, insurance source is identified and secured, and collaborates with leadership in process and operational improvement.

In this position, it is imperative to be able to consistently maintain a pleasant, professional demeanor and make patients and employees always feel welcome! In this role you will gain additional insight and experience through floating within our 3 locations - Albuquerque, Paseo, & Coors!

If you are interested in joining a company that is setting the bar for the way urgent care is approached, apply for our Full Time Patient Access Account Specialist opening today! *Full Time; Monday-Friday Position!

Responsibilities

Patient Access Account Specialist - job responsibilities include:

Expertise knowledge of and ability to perform all Patient Access duties: verifying benefits, check patients in and out and collect copayments, coinsurance, deductibles
Ability to support the Patient Access Leads and pick up shifts when needed.
Perform after visit activities which include collecting residual balances, obtaining missing information, and any other follow-up activities that may be necessary to complete a patients encounter.
Verify insurance for eligibility and benefits using online electronic verification system or by contacting payer or patient directly.
Able to troubleshoot complex insurance scenarios to ensure a clean claim.
Attend and participate in Patient Access Staff meetings as required
Review and audit patient charts per leadership direction
o Correct or obtain any missing information
o Provide feedback to leadership on registration errors and potential regulatory violations
o Send training opportunities to the Patient Access Team
o Create monthly training topics for PresNow locations based on findings
Monitor and complete all PresNow WQs to ensure timely filing per CMS guidelines:
o Patient WQs
o Charge Review WQs
o Claim Edit WQs
o HB/PB Account WQs
o Any other assigned PresNow WQs
Assist leadership to ensure all personnel department policies and procedures are followed.
Provide patients and their families with a customer focused, friendly reassuring open environment that encourages patients to return.
Collaborate with hospital partner (ACU Team) as needed
Follow all Compliance Regulatory guidelines including HIPAA & EMTALA
Will be responsible for completing WQs in a timely manner, as defined by Service Level Agreement and timely filing standards.
Follow all company policies, and adhere to all laws and regulations

Skills & Qualifications

Patient Access Account Specialist - required skills & qualifications include:

High School Diploma or GED required
2-4 year college degree in Business, Accounting, Medical Administration or related area preferred
Minimum of 2 years’ experience in customer service or medical office setting.
Minimum of 2 years’ experience in Patient Access and/or billing, 3 years+ preferred.
Extensive knowledge with health insurance and the insurance verification process.
Proficient in EPIC ADT system
Must be computer literate (Word, Excel, Outlook)
Ability to perform multiple tasks simultaneously, and to prioritize multiple demands effectively
Exceptional communication skills and customer service is required
Solid work history
Be flexible with work location as onsite visits will be required.
Basic knowledge of CMS guidelines