Patient Financial Advocate

Job Description

Job Description

Patient Financial Advocate

Optimum Human + Southwest Women’s Oncology | Albuquerque, New Mexico

Why This Role Matters

A cancer diagnosis changes everything. And for many patients, the financial reality of treatment can be as overwhelming as the diagnosis itself.

The Patient Financial Advocate stands between patients and that confusion—translating the complexity of insurance, billing, and financial assistance into clarity, confidence, and relief.

This role is not administrative support. It is a critical function that protects patients from preventable financial hardship and protects the practice through revenue integrity and compliance precision.

We believe that financial advocacy done right is an act of compassion and we hold it to the same standard as clinical care. We hire for attitude and aptitude above all else. Credentials matter, but who you are and how you grow matter more.

Who We Are

Southwest Women’s Oncology (SWWO) is New Mexico’s leading gynecologic oncology practice, delivering advanced cancer care with skill, courage, and compassion.

Optimum Human and Optimum Infusion extend that mission into performance medicine, infusion services, longevity, recovery, hormone optimization, medical weight loss, peptide therapies, hyperbaric medicine, aesthetics, and human performance.

Together, we operate as a single integrated platform committed to one mission:

We exist to deliver new possibilities in medical care, human performance, and health by uniting passion, knowledge, and skill.

The Opportunity

This is not a “explain the bill and move on” role. You will serve as the primary financial navigator for patients across both practices, working at the intersection of revenue cycle integrity, compliance, and patient advocacy.

You will own the financial clearance process from pre-service through resolution—educating patients, securing assistance, facilitating collections, and ensuring nothing falls through the cracks. You will work alongside:

• Clinical teams managing active oncology and infusion treatment plans
• Billing and coding staff navigating complex insurance and reimbursement workflows
• Front office teams coordinating patient scheduling and financial intake
• Pharmaceutical manufacturers, foundations, and assistance programs
• Compliance and regulatory frameworks including the No Surprises Act

You will be the person patients trust when they don’t know where to turn—and the professional the practice relies on to get it right.

What You’ll Own

Patient Financial Clearance & Education

• Review patient accounts and insurance coverage prior to treatment to identify financial risk and outstanding balances.
• Generate and deliver Good Faith Estimates (GFEs) in compliance with the No Surprises Act and applicable federal regulations prior to initiation of services.
• Provide accurate cost estimates for chemotherapy, infusion therapy, surgical procedures, and specialty services.
• Educate patients on insurance benefits, deductibles, coinsurance, and out-of-pocket responsibility with clarity and compassion.

Revenue Integrity & Collections

• Facilitate point-of-service collections and establish structured payment arrangements when appropriate.
• Monitor outstanding balances and follow up proactively to resolve accounts in a timely manner.
• Collaborate with billing staff to ensure financial workflows and documentation are accurate and complete.

Financial Assistance & Patient Advocacy

• Proactively identify and secure financial assistance on behalf of patients, including manufacturer copay assistance programs, drug replacement programs, foundation grants, and charitable funding resources.
• Assist patients in completing required applications and gathering supporting documentation.
• Monitor and manage awarded assistance funds, ensuring proper allocation to patient accounts.

Cross-Functional Collaboration

• Serve as a patient-centered resource for financial navigation throughout the entire course of treatment.
• Partner with clinical, billing, and front office teams to ensure seamless financial workflows.
• Communicate proactively with the care team regarding financial barriers that may impact treatment adherence.

Compliance & Documentation

• Maintain strict adherence to HIPAA and all applicable federal and state compliance requirements.
• Document all financial counseling interactions, assistance applications, and account activity accurately and completely in the EMR and billing systems.

Continuous Improvement

• Identify and recommend process improvements to enhance financial clearance workflows and patient outcomes.
• Stay current on changes to insurance regulations, the No Surprises Act, and financial assistance program availability.
• Raise standards through your example, your thoroughness, and your ownership.

What Success Looks Like

First 90 Days

• Independently managing pre-service financial clearance for new patients.
• Demonstrating working knowledge of GFE requirements, insurance workflows, and assistance programs.
• Building trust with patients, billing staff, and clinical teams.
• Consistently delivering accurate documentation and account follow-through.

First 6 Months

• Recognized as the go-to financial resource for patients and internal teams.
• Actively securing financial assistance that reduces patient out-of-pocket burden.
• Contributing process improvements to financial clearance and collections workflows.

First Year

• Viewed as a culture carrier and operational pillar across both practices.
• Measurably improving financial clearance rates, collections, and assistance program utilization.
• Consistently embodying the Optimum Standard.

Who Thrives Here

We want people who bring relentless positivity, a hunger to learn, and the drive to elevate everyone around them. You will likely thrive if:

• You take ownership rather than waiting for direction.
• You believe details matter.
• You enjoy solving problems and seek continuous improvement.
• You care deeply about patients and their families.
• You value teamwork and accountability equally.
• You’re coachable, curious, and committed to mastery.

What You Bring

Required

• 2+ years of experience in medical billing, revenue cycle management, or healthcare financial counseling.
• Strong understanding of insurance benefits, EOB interpretation, and patient responsibility calculations.
• Working knowledge of the No Surprises Act and Good Faith Estimate requirements.
• Familiarity with Medicare, Medicaid, and commercial insurance plans.
• Excellent interpersonal and communication skills with the ability to discuss sensitive financial matters with empathy and confidence.
• Highly organized with strong analytical and problem-solving skills.
• Proficiency with EMR, billing, and practice management systems.

Preferred

• Experience in oncology or infusion billing.
• Experience securing manufacturer copay assistance, drug replacement programs, and foundation funding.
• Familiarity with chemotherapy and specialty drug reimbursement workflows.

Our Culture

We act with courage and embrace accountability.

We serve with precision and hold ourselves to impeccable standards - then raise them.

We reject mediocrity and the comfort of “good enough.”

We measure success not only by outcomes, but by the integrity, excellence, and humanity we bring to every interaction.

Way Better. Extraordinary by Design.

If you crave mastery, meaning, and measurable impact - welcome home.

Compensation & Benefits

• Competitive salary
• Health benefits
• 401(k)
• Paid time off
• Professional development and continuing education support
• Opportunity to grow within the Optimum Platform

This is a full-time, on-site position at our Albuquerque, New Mexico office.