Patient Financial Advocate

Now Hiring: Patient Financial Advocate

Location: 8800 Montgomery Blvd NE Albuquerque, NM 87111-2310

Compensation Pay Range: Minimum Offer $16.79 Maximum Offer $24.95

Summary: Build your Career. Make a Difference. Presbyterian is hiring a Patient Financial Advocate. Performs financial screening on hospital and medical group accounts to identify residual balances, high-deductible plan participants, and self-pay patients. Maintains thorough knowledge of assistance programs (Community Benefit, Medicaid/PEMOSSA, alternate resources) and Presbyterian payment-plan policies. Researches and resolves disputed or outstanding account balances and applies strong understanding of PHS contract benefits, in-network/out-of-network rules, and pre-billing claim processes to counsel patients on financial responsibility. Escalates chronic no-pay or bad-debt accounts to the supervisor. Refers uninsured patients to the Financial Advocacy Center for assistance with coverage options, including Marketplace enrollment.

Type of Opportunity: Full time Job Exempt: No Job is based: PMG - Montgomery Work Shift: Days (United States of America)

Responsibilities:

• Customer Service & Caring Practices Delivers exceptional patient experience using CARES, AIDET, and EPE tools. Addresses and resolves complaints in the moment using appropriate communication. Manages conflict effectively and seeks supervisor support when needed.
• Encounter Components Calculates patient out-of-pocket costs (copays, coinsurance, deductibles, residuals). Updates the DAR in Epic to alert staff of patient financial responsibilities. Sets payment expectations during patient interactions and establishes payment plans per guidelines. Ensures high registration accuracy, identifies and corrects errors, and serves as a resource for account interpretation. Identifies claim-filing errors and resubmits corrected claims to payors.
• Financial Accountabilities Collects patient financial obligations, including residual balances. Refers patients to onsite Financial Advocates or the Financial Advocacy Center when appropriate. Follows PMG cash-handling policies and balances daily. Maintains current knowledge of PHS financial policies, payment plans, and funding programs.
• Medical Record Components Documents patient discussions, agreements, and audit-trail notes in the appropriate Epic account screens.
• Patient Relations & Safety Understands the connection between service quality, patient satisfaction, and reimbursement. Responds quickly to patients in distress and alerts clinical staff per clinic guidelines. Maintains a clean, safe registration and waiting area and reports safety concerns. Completes annual clerical competency for Code Blue.

Qualifications:

• High school or equivalent
• Three to five years of healthcare experience in a physician office or hospital setting
• Prior billing office and collection experience preferred
• Significant provider and patient interaction experience
• Familiarity with the Affordable Care Act and healthcares role in assisting patients and patients families with health care costs
• Must be able to interpret data
• Comprehension of billing methodology for an integrated delivery system to include lab and other ancillary services in scope
• Candidates must be at least 18 years of age at the time of hire

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

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.

About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are 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 1600 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.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.