Patient Access Account Specialist I
Presbyterian Healthcare Services(1 month ago)
About this role
The Patient Access Account Specialist I at Presbyterian performs front-end financial clearance for government and commercial patient accounts prior to the date of service. The role includes insurance verification, authorization follow-up, demographic and benefit documentation, and pre-service collections to ensure a clean claim for billing. The position requires knowledge of Medicare (CMS) guidelines and applicable compliance regulations such as HIPAA and EMTALA.
Required Skills
- Insurance Verification
- Authorization Management
- Patient Registration
- Pre-Service Collections
- Demographics Entry
- Benefit Analysis
- EPIC ADT
- Customer Service
- HIPAA Compliance
- Medicare Knowledge
Qualifications
- High School Diploma
- Patient Academy (Passing Score 85%+)
- Patient Access Advocate II
- Patient Access Advocate III
- CHAA
- CHAM
About Presbyterian Healthcare Services
phs.orgFind the medical care and health plan you and your family need at Presbyterian Healthcare Services, an integrated system of hospitals, healthcare providers and insurance plans serving patients and members in New Mexico.
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