Presbyterian Healthcare Services

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PATIENT FINANCIAL ADVOCATE - ADMITTING

at Presbyterian Healthcare Services

Posted: 2/27/2019
Job Status: Full Time
Job Reference #: 19382
Keywords: medical

Job Description

About Us

Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of eight hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees.

 

Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.

 

We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.

 

Job Description 

Type of Opportunity: Full Time

FTE: 1.000000

Exempt: No

Work Schedule: Weekday Schedule Monday-Friday

Location: Presbyterian Hospital

 

Education:
Essential: * High School Diploma or GED

 

 

Other information:
Academic Preparation:
*High school or equivalent
Experience:
*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
Abilities:
*Demonstrates a commitment to Presbyterian¿s Sense of Mission by role modeling CARES Behaviors and appropriate customer service techniques to perform patient education and act as a resource and advocate to our patients and members
*Requires detailed knowledge of operations in a medical practice in terms of what and how work is to be done as well as why it is done
*Familiarity with the Affordable Care Act and healthcare¿s 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
 

Summary:
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

 

  

Benefits

Benefits are effective day-one (for .45 FTE and above) and include:

  • Competitive salaries<\>

  • Full medical, dental and vision insurance<\>

  • Flexible spending accounts (FSAs)<\>

  • Free wellness programs<\>

  • Paid time off (PTO)<\>

  • Retirement plans, including matching employer contributions<\>

  • Continuing education and career development opportunities<\>

  • Life insurance and short/long term disability programs<\><\>

     

    About New Mexico

    New Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich life>Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great.

     

    Cities in New Mexico are continually ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC.

     

    New Mexico offers endless recreational opportunities to explore, and enjoy an active life>

     

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

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!