Patient Financial Advocate-SF

Location Address:

Compensation Pay Range:

Summary:

Responsibilities:

• Calculate patient out of pocket expectation (co-insurance, co-payment, deductible, residual amounts) and alert patient to that balance prior to upcoming visit. Use coding knowledge to calculate charges for more complicated levels of service (modifiers, lesions, etc). Contact patient to set the expectation for payment during the visit. Offer an appointment to review account when questions exist.
• Successful collection rate of residual, high-deductible and self pay amounts in a courteous, professional manner using CARES Behaviors.
• Exceptional registration accuracy skills to identify errors and correct them as necessary. Serves as a resource to staff regarding account interpretations. Identify claims where filing errors have occurred and resubmit the claims to payors for consideration.
• Demonstrated competence in using patient estimator technology and on line tools available to provide a reasonably accurate out of pocket expense expectation for patients and their guarantors.
• Facilitates the operations of the clinic or hospital by providing support to clerical staff to discuss account activity with patients and guarantors. Communicates appropriate situations to Clinic Manager , DPO, and Patient Access Supervisor.
• Keeps current on PHS financial policies, including payment plans, programs and other forms of funding.
• Comprehension of billing methodology for an integrated delivery system to include lab and other ancillary services in scope.
• Responsible for covering other POB/PMG clerical operations duties based on business need
• Other duties as assigned.

Qualifications:

• Three to five years of experience in healthcare field with significant MD and patient interaction required.
• Physician office or hospital experience preferred.
• Prior billing office and collection experience preferred.
• Must be able to demonstrate competency in registration with the ability to pass all Epic competencies within 30 days of hire
• 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.