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Patient Financial Advocate- HS General Surgery

Presbyterian Healthcare Services
life insurance
United States, New Mexico, Albuquerque
1100 Central Avenue Southeast (Show on map)
Dec 23, 2025

Location Address:

1100 Central Avenue SE , Albuquerque, New Mexico 87106-4930, United States of America

Compensation Pay Range:

Minimum Offer $:

15.99

Maximum Offer for this position is up to $:

23.76

Now hiring a

Patient Financial Advocate- HS General Surgery

Summary:

Build your Career. Make a Difference. Presbyterian is hiring a skilled Patient Patient Financial Advocate- HS General Surgery.

Performs financial screening on hospital and medical group account activity to identify residual balances, high-deductible plan participants and self-pay patients

Requires thorough knowledge of assistance programs to include Community Benefit Application, Medicaid (PEMOSSA) application where applicable and other alternate resource programs in addition to full competency of Presbyterian policy for payment plan application. Research disputed account balances and resolve accounts with outstanding residual balances. Must possess in depth understanding of benefits administration of PHS contracts and their respective in and out of network arrangements. Comprehension of the pre-billing/pre-adjudication of claim filing to successfully identify out of pocket expense to counsel patient and/or families regarding financial responsibilities to Presbyterian. Escalates chronic no pay or bad debt accounts to supervisor
Refers patients without insurance coverage to the Financial Advocacy Center located at Main PHS for navigation of options to manage healthcare costs, including using the Market Place for obtaining health insurance coverage
Other duties as assigned

Type of Opportunity:

Full time

Job Exempt:

No

Job is based :

Presbyterian Hospital

Work Shift:

Weekday Schedule Monday-Friday (United States of America)

Responsibilities:

Customer Service and Caring Practices:

  • Achieve exceptional patient experience for patients and patient families.

  • Addresses and attempts to appropriately resolve complaints in the moment.

  • Ability to manage conflict and appropriately request the help of a supervisor when needed.

  • Monitor and maintain the lobby waiting areas for cleanliness and to offer comfort cart rounding to the patients and families.

Encounter Components:

  • Performs the patient registration process.

  • Guide informed dialogue with patients and patients representatives regarding e-signature documents and offer printed copies during each registration.

  • Demographic data

  • Insurance critical elements

  • Investigate insurance eligibility via electronic tools.

Financial Accountabilities:

  • Collects identified patient financial obligation amounts including residual balance if applicable

  • Refers as appropriate to on site Financial Advocate, or for uninsured to the Financial Advocacy Center

  • Follows PMG cash handling policies and balances daily

Message Management:

  • Formulates complete and accurate telephone encounter messages and routes to the appropriate Epic in-basket pool to support operational aspects of patient care.

Medical Record Components:

  • Instructs patients on the Release of Information process and insure a fully completed ROI Form is submitted to Health Information Management.

  • Follows workflows to obtain incoming records, documenting receipt and preparing for scanning into the electronic health record.

  • Facilitate paperwork completions for patients. Communicate effectively, document and follow pre-determined workflows. Items may include; Prescriptions, Handicap Placards, Disability Forms

Patient Relations

  • Comprehend quality service connection to patient satisfaction and reimbursement

  • Manage patient relations in regard to late arrivals for pre-scheduled appointments. Explore all options to resolve the situation while maintaining effective and customer focused communication.

    Patient Safety

  • Respond quickly to patients showing distress. Follow guidelines set forth by the Clinic Manger to alert the clinical team. Assist in any manner the clinic team directs.

  • Ensure registration area, waiting area and walkways are clear of any unnecessary items and are clean and neat.

  • Report any concern that may create a safety issue.

  • Annual competency completion of Clerical Staff during a Code Blue

Quality Improvement:

  • Perform assigned patient care responsibilities, which may include:

  • Overdue result letters

  • Appointment reminder calls

  • Rescheduling

C.A.R.E.S Behaviors:

  • Demonstrates CARES behaviors of Collaborate, be Accountable, Respect, Engage and Serve to all whom you encounter.

Qualifications:

  • High school or equivalent Experience:

  • A minimum of nine (9) months of work experiences in office, healthcare or customer service environment is required.

  • Must pass EPIC competency for Registration at completion of Epic Clerical Training class. Professional Requirements:

  • Pass annual competency exam for all areas of responsibility.

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.

We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services
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