Patient Access Financial Advocate-Admitting

Presbyterian Healthcare Services; Albuquerque (NM); Remote; USD 48,000 - 50,000; Full time

Job summary

A leading healthcare provider in New Mexico is seeking a Patient Financial Advocate to perform financial screenings and assist patients with their financial responsibilities. The ideal candidate will have healthcare experience, knowledge of billing methodologies, and a commitment to providing excellent customer service. This full-time position offers a comprehensive benefits package and the opportunity to work remotely within New Mexico.

Benefits

Comprehensive benefits package including medical, dental, vision

Paid time off

Retirement plan

Wellness programs

Qualifications

• Three to five years of healthcare experience in a physician office or hospital setting.
• Experience in healthcare billing and collections preferred.
• Ability to interpret data and understand billing methodologies.

Responsibilities

• Perform financial screening on hospital and outpatient accounts.
• Calculate patient out-of-pocket expenses and set payment expectations.
• Ensure an exceptional patient experience using CARES and AIDET.

Skills

Customer Service

Financial Screening

Billing Methodologies

Education

High school diploma or equivalent

Job description

Overview

Now hiring a Patient Financial Advocate - Admitting.

This role involves performing financial screening on hospital, Pre-registration, ER, and outpatient accounts. The candidate should have thorough knowledge of assistance programs including Financial Assistance applications, Medicaid (PEMOSSA), and other resources, along with full competency in Presbyterian policies for payment plans. An in-depth understanding of benefits administration of PHS contracts and their network arrangements is required. The role also involves pre-billing/pre-adjudication of claims to identify patient out-of-pocket expenses, understanding billing methodologies across Presbyterian affiliates, and counseling patients regarding financial responsibilities. The ability to research disputed accounts and escalate unresolved issues is essential. The candidate should demonstrate a commitment to Presbyterian’s Mission by modeling CARES Behaviors and providing excellent customer service, acting as a resource and advocate for patients.

How you belong matters here

We value diversity and believe our differences strengthen our community and team.

Why Join Us

• Full Time - Exempt: No
• Location: Presbyterian Hospital
• Remote work from home, within New Mexico
• Work hours: Days
• Benefits include medical, wellness, vision, dental, paid time off, retirement, and more.

Ideal Candidate

Three to five years of healthcare experience in a physician office or hospital setting.

Qualifications

• High school diploma or equivalent
• Experience in healthcare billing and collections preferred
• Significant provider and patient interaction experience
• Ability to demonstrate commitment to Presbyterian’s Mission and CARES behaviors
• Knowledge of medical practice operations and healthcare policies like the Affordable Care Act
• Ability to interpret data and understand billing methodologies for integrated systems

Responsibilities

Customer Service and Caring Practices

• Ensure an exceptional patient experience using CARES, AIDET, and EPE tools
• Resolve complaints promptly and appropriately manage conflicts

Encounter Components

• Calculate patient out-of-pocket expenses
• Adjust workflow to alert registration staff of residual amounts
• Set payment expectations and establish payment plans
• Ensure registration accuracy and correct errors

Financial Accountabilities

• Collect patient obligations and residual balances
• Refer patients to Financial Advocates or Financial Advocacy Center as needed
• Follow cash handling policies and stay current on financial policies

Medical Record Components

• Document patient discussions and outcomes
• Respond to patient distress and ensure safety and cleanliness of the registration area
• Complete annual competencies and attend meetings

Benefits

Comprehensive benefits package including medical, dental, vision, disability, life insurance, and wellness programs.

Why work at Presbyterian?

We are committed to community health improvement and actively engage in community partnerships.

About Presbyterian Healthcare Services

Founded in 1908, we are a large, locally owned, not-for-profit healthcare system in New Mexico, with hospitals, a health plan, and a medical group, employing nearly 14,000 staff.

Our health plan serves over 580,000 members statewide. We are an equal opportunity employer and maintain a drug-free, tobacco-free campus.

Maximum offer for this position is up to USD $23.07/hr, based on experience and organizational needs.