Advocate

Company: Presbyterian Healthcare Services
Location: Rio Rancho
Posted on: April 11, 2025

Job Description:

Overview Now hiring a Patient Access Advocate-I ED The Patient Access Advocate I provides primary registration of patient accounts for self-pay, government and commercial accounts on date of service for scheduled and unscheduled visits. Perform registration functions, including updating of demographics, insurance verification, collection of point of service liabilities and documentation of registration information within the ADT system. Confirm account being registered has accurate information to ensure clean billing. Must possess basic knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access. 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 Presbyterian Rust Hospital Work hours: 12 Hour Days Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employees. Ideal Candidate: 6 months experience in healthcare setting or 1 year customer service background. Qualifications High school diploma/GED 6 months experience in healthcare setting or 1 year customer service background. Pass 2 week Patient Access Academy with a passing score of 85% or higher (within 6 mos of start). CHAA, CHAM or other industry equivalent certification preferred Basic understanding of insurance preferred. Basic understanding of medical terminology and billing codes (DRG, ICD-10, CPT, HCPCS) preferred Requires basic understanding of registration and healthcare. Basic knowledge in Microsoft Office Products. Responsibilities 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. 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. 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 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 at time of service if not completed during financial clearance process. Benefits We offer more than the standard benefits! Presbyterian employees gain access to a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more! Learn more about our employee benefits: 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. For our employees, we offer a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more. Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than 875,000 New Mexicans. About Presbyterian Healthcare Services Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a 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 1,600 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. About Our Regional Delivery System Presbyterian's Regional Delivery System is a network of six hospitals and medical centers throughout rural New Mexico including locations in Clovis, Espanola, Ruidoso, Santa Fe, Socorro and Tucumcari. Our regional facilities are home to more than 1,600 clinical and non-clinical employees who help make Presbyterian the state's largest private employer with nearly 14,000 statewide employees. With a variety of services ranging from general surgery to pediatrics to heart and cancer care, our regional employees are proud to provide close-to-home care for their communities. We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come. About New Mexico New Mexico continues to grow steadily in population and features a low cost-of living. Varied landscapes bring filmmakers here from around the world to capture a slice of the natural beauty New Mexicans enjoy every day. Our landscapes are as diverse as our culture - from mountains, forests, canyons, and lakes, to caverns, hot springs and sand dunes. New Mexico offers endless recreational opportunities to explore and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. Maximum Offer for this position is up to USD $20.57/Hr. Compensation Disclaimer The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs. Employment Type: Full Time

Keywords: Presbyterian Healthcare Services, Rio Rancho , Advocate, Other , Rio Rancho, New Mexico