PRN Patient Access Advocate I

hace 2 semanas

Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completo
Overview

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.

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
  • 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 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 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.
  • Daily focus on attaining productivity standards.
  • Monitor and track Data Quality program to ensure errors are corrected at time of service.
  • Maintain appropriate records, files, and timely and accurate documentation in the system of record.
  • Other duties as assigned.

Financial Accountabilities:

  • Collects identified patient financial obligation amounts including residual balance if applicable. Collect liability from patient at time of service.
  • Educate patients on financial assistance, charity or other programs that may be available.
  • Refers as appropriate to on site Financial Advocate or to the Financial Advocacy Center.

Patient Relations:

  • Complete any information missing from the account to ensure accuracy at time of visit.
  • Transparency with patients through communication of patient liabilities.

Quality Improvement:

  • Perform assigned patient care responsibilities, which may include but are 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.
Benefits

We're all about well-being, starting with yours. Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more. Learn more about our employee benefits. Presbyterian is committed to an inclusive and equitable environment where everyone is valued and empowered for success. We believe that our environment should reflect the diversity of our community.

About Presbyterian Healthcare Services

Presbyterian exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system comprised 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 13,000 employees - including more than 1,200 providers and nearly 3,500 nurses.

Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

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 $21.01/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.

#J-18808-Ljbffr

  • Patient Access Advocate I-SF

    hace 2 semanas

    Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completo

    OverviewSummary: 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...

  • Patient Advocate Nurse

    hace 12 horas

    Rosario, Santa Fe, Argentina Christus Health A tiempo completo

    Job Overview:Christus Health is seeking a highly skilled Clinical Nurse to join our team. As a Clinical Nurse, you will be responsible for providing high-quality patient care and working collaboratively with the healthcare team to achieve optimal outcomes. This role requires a Registered Nurse who is committed to delivering exceptional patient care and has a...

  • Patient Advocate Specialist

    hace 4 horas

    Rosario, Santa Fe, Argentina Christus Health A tiempo completo

    About the RoleThe Patient Navigator will play a crucial part in ensuring seamless care coordination across Christus Health System.Develop and maintain relationships with patients, families, and caregivers.Assess patient needs and develop individualized care plans.Foster collaboration among healthcare professionals to ensure high-quality patient care.Key...

  • Registered Patient Advocate

    hace 4 días

    Rosario, Santa Fe, Argentina Thegradcafe A tiempo completo

    Job Description: Thegradcafe is seeking a skilled Registered Nurse to provide clinical care to patients on our assigned units. As a Clinical Nurse, you will work closely with other healthcare professionals to coordinate and implement patient care plans, prioritize tasks, and maintain accurate records.Key Responsibilities:Assess patients' needs and develop...

  • Patient Advocate Nurse

    hace 1 semana

    Rosario, Santa Fe, Argentina Christus Health A tiempo completo

    Overview:We are seeking an experienced Clinical Nurse to join our healthcare team. In this role, you will have the opportunity to make a meaningful difference in the lives of our patients and their families.Key Responsibilities:Assess patient needs and develop individualized care plansProvide direct patient care servicesCollaborate with interdisciplinary...

  • Patient Health Advocate

    hace 6 días

    Rosario, Santa Fe, Argentina Christus Health A tiempo parcial

    About Christus HealthWe are a faith-based health system committed to delivering high-quality, compassionate care to our patients. Our mission is to extend the healing ministry of Christ by improving the health of our communities.Role ResponsibilitiesAssess patient needs and develop comprehensive care plansDeliver high-quality patient care services, including...

  • Patient Visit Specialist

    hace 2 semanas

    Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completo

    OverviewPresbyterian is seeking a Patient Visit Specialist.In this position, you will coordinate patient care and ensure an exceptional patient experience, schedule specialty and radiologic procedures, obtain prior authorizations, certifications, and referrals as required by payors, process daily referral workqueues for authorization, deferring only those...

  • Healthcare Access Specialist

    hace 7 horas

    Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completo

    We are seeking a highly motivated and detail-oriented Patient Registration Professional to join our team at Presbyterian Healthcare Services. As a key member of our Patient Access Department, you will be responsible for providing exceptional patient experiences by ensuring accurate registration processes and managing financial obligations.About the Role:This...

  • Patient Registrar III-SF

    hace 2 semanas

    Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completo

    OverviewThe Registration Services Associate III acts as the Experience Ambassador and directs the exceptional experience for patients, families, and visitors in Presbyterian Medical Group Clinics. The exceptional experience begins in the lobby which is the domain of the Ambassador. The Ambassador assists, mentors, and encourages use of Kiosk technology for...

  • Patient Support Team Lead

    hace 1 día

    Rosario, Santa Fe, Argentina Sharecare A tiempo completo

    Job SummaryWe are seeking an experienced Family Health Advocate Lead to join our team. This individual will play a key role in supporting Family Health Advocates and members in achieving their healthcare goals.Key ResponsibilitiesAnswer member inquiries on eligibility, benefits, claims, and other healthcare-related matters.Collaborate with Family Health...

  • Patient Resource Advocate

    hace 6 días

    Rosario, Santa Fe, Argentina Home Medical Equipment Specialists, Llc A tiempo completo

    About UsHME Specialists, LLC is dedicated to helping each patient reach their highest level of medical independence by delivering equipment and services seamlessly, with exceptional care. As a Hospital Services Coordinator, you will be an integral part of our professional team, working together to make a difference in people's lives.Responsibilities and...

  • Patient Registrar III-SF

    hace 2 semanas

    Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completo

    OverviewSummary: The Registration Services Associate III acts as the Experience Ambassador and directs the exceptional experience for patients, families, and visitors in Presbyterian Medical Group Clinics. The exceptional experience begins in the lobby which is the domain of the Ambassador. The Ambassador assists, mentors, and encourages use of Kiosk...

  • Patient Registration Professional

    hace 7 horas

    Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completo

    We are looking for a skilled and organized Clinical Administrative Associate to join our team at Presbyterian Healthcare Services. In this role, you will play a critical part in ensuring the smooth operation of our Patient Access Department by registering patients, verifying insurance, and collecting financial obligations.About the Position:This is an...

  • Patient Care Coordinator

    hace 4 días

    Rosario, Santa Fe, Argentina Christus Health A tiempo parcial

    About Christus Health">Christus Health is a faith-based healthcare organization dedicated to extending the healing ministry of Christ. We strive to provide exceptional patient care, promote healthy lifestyles, and improve access to quality healthcare services.">Nursing Opportunities">We are seeking a qualified Clinical Nurse to join our team at Christus...

  • Healthcare Assistant

    hace 1 día

    Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completo

    Job OverviewWe are seeking a compassionate and skilled Healthcare Assistant to provide top-notch care and support to our inpatient population. As a key member of our team, you will play a vital role in ensuring the well-being and safety of our patients.Key Responsibilities:Aiding patients with daily activities and needsMinimizing the risk of patient falls...

  • Patient Coordinator Lead

    hace 1 semana

    Rosario, Santa Fe, Argentina Choice Healthcare Services A tiempo completo

    OverviewPatient Coordinator LeadSummary: The Patient Coordinator Lead (front office) performs audits, patient retention, schedules staff, enforces office policy, maintains the back office, and performs administrative duties.At CHOICE Healthcare Services, our mission is to provide everyone access to the healthcare they need. CHOICE is the largest provider of...

  • Patient Observation Attendant

    hace 2 semanas

    Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completo

    OverviewPresbyterian is seeking a Patient Observation Attendant to provide companionship and assistance with needs and daily activities of our inpatient population. In this role, you will minimize the risk of patient falls by aiding the patient to the bathroom along with other activities in collaboration with the nursing team.Type of Opportunity: Per...

  • Patient Support Advocate

    hace 3 días

    Rosario, Santa Fe, Argentina Home Medical Equipment Specialists, Llc A tiempo completo

    RequirementsExcellent telephone and communication skillsAttention to detail and ability to multi-task in a fast-paced environmentBasic computer knowledge and ability to use various software toolsAbility to listen attentively and provide clear informationBilingual individuals are welcome to apply as it will enable them to assist a wider range of customers...

  • Patient Safety Advocate

    hace 2 días

    Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completo

    About This PositionWe are seeking a qualified and experienced individual to fill the role of Hospital Security Team Member. The successful candidate will be responsible for performing a variety of tasks related to hospital security, including conducting patrols, investigating incidents, and interacting with employees and visitors.This position requires the...

  • Occupational Therapist-SF

    hace 2 semanas

    Rosario, Santa Fe, Argentina Presbyterian Healthcare Services A tiempo completo

    OverviewSummary: Evaluates patients regarding the application of a wide variety of therapeutic interventions for rehabilitation of physical and developmental disorders.Type of Opportunity: Per Required Need FTE: 0.001000 Exempt: No Work Schedule: Varied Days and Hours.QualificationsOther information: Masters preferred. Professional Roles and Requirements:...