Patient Access Advocate I

Presbyterian Healthcare Services; Albuquerque (NM); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare provider in New Mexico is seeking a Patient Access Advocate I to manage patient registrations and ensure accurate billing information. The ideal candidate will have a high school diploma and experience in healthcare or customer service, along with a commitment to delivering exceptional patient experiences. This full-time role offers comprehensive benefits and the opportunity to work remotely within New Mexico.

Benefits

Medical benefits

Dental benefits

Vision benefits

Paid time off

Retirement benefits

Qualifications

• 6 months experience in healthcare or 1 year in customer service.
• Pass the 2-week Patient Access Academy with a score of 85% or higher.
• Preferred: CHAA, CHAM or industry equivalent certification.

Responsibilities

• Perform patient registration and verify demographic and insurance information.
• Educate patients on insurance benefits and resolve complaints.
• Ensure accounts are financially cleared at the time of service.

Skills

Customer service

Insurance knowledge

Medical terminology

Proficiency in Microsoft Office

Education

High school diploma/GED

Job description

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Pay Range

This range is provided by Presbyterian Healthcare Services. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range: $15.00/hr - $20.57/hr

Overview

Now hiring a Patient Access Advocate I. This role involves primary registration of patient accounts for self-pay, government, and commercial accounts on the date of service for scheduled and unscheduled visits. Responsibilities include registration functions, updating demographics, insurance verification, collecting point of service liabilities, and documenting registration information within the ADT system. Ensure the account has accurate information to facilitate clean billing. Basic knowledge of Medicare (CMS) guidelines and other compliance regulations applicable to Patient Access is required. Provide excellent customer service and assist with wayfinding for patients and visitors.

Why Join Us

• Full Time - Exempt: No
• Location: Rev Hugh Cooper Admin Center
• Remote work from home: Yes, within New Mexico
• Work hours: Days
• Benefits: Medical, wellness, vision, dental, paid time off, retirement, and more

Ideal Candidate

6 months experience in healthcare setting or 1 year customer service background.

Qualifications

• High school diploma/GED
• 6 months healthcare or 1 year customer service experience
• Pass the 2-week Patient Access Academy with a score of 85% or higher (within 6 months of start)
• Preferred: CHAA, CHAM or industry equivalent certification
• Basic understanding of insurance, medical terminology, billing codes (DRG, ICD-10, CPT, HCPCS)
• Basic knowledge of registration and healthcare processes
• Proficiency in Microsoft Office

Responsibilities

• Deliver exceptional patient experience using CARES, AIDET, and EPE tools
• Resolve complaints effectively and de-escalate conflicts when necessary
• Educate patients on insurance benefits and liabilities
• Ensure accounts are financially cleared at the time of service
• Perform patient registration, verifying and entering demographic and insurance information, and documenting actions accurately
• Maintain knowledge of authorization requirements, payer guidelines, and Medicare (CMS) regulations
• Complete MSPQ at the time of service if not previously done

Benefits

Comprehensive benefits including medical, dental, vision, disability, life insurance, and voluntary benefits. Wellness programs are available to promote health and well-being.

About Presbyterian Healthcare Services

Founded in 1908, Presbyterian is a non-profit healthcare system serving New Mexico with nine hospitals, a health plan, and a growing medical group. We are committed to community health and employee well-being.