Patient Access Advocate -ABQ

Join to apply for the Patient Access Advocate II- ED-ABQ role at Presbyterian Healthcare Services
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This range is provided by Presbyterian Healthcare Services. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$15.59/hr - $23.70/hr

Location Address
6301 Forest Hills Dr NE, Albuquerque, NM , United States of America

Compensation Pay Range
Minimum Offer $ 15.59
Maximum Offer for this position is up to $ 21.64

The Patient Access Advocate II provides registration of patient accounts for government and commercial accounts on date of service for scheduled and unscheduled visits. Performs registration functions, including updating of demographics, insurance verification, authorizations, collection of point of service liabilities, and documentation of benefit analysis and registration information within the ADT system. Confirms and follows up on authorization for scheduled visits and ensures account information is accurate for clean billing.

Provides coverage to other areas as needed to minimize overtime and guarantee patients receive services without registration delays. Must possess a strong knowledge of Medicare (CMS) guidelines, as well as other compliance regulatory guidelines applicable to Patient Access. Monitors accounts to identify duplications and corrects before patient receives services to ensure patient safety. Provides the highest level of customer service to patients/family at time of service through registration interactions as well as providing way finding.

Type Of Opportunity Full time

Job Exempt No

Job Is Based Presbyterian Healthplex

Work Shift Weekday Schedule Monday-Friday (United States of America)

• Provide exceptional patient experience using CARES, AIDET and EPE tools.
• Resolve patient complaints promptly using de‑escalation processes.
• Perform patient registration and collect accurate demographic and financial information.
• Verify insurance eligibility and benefits, including coordination of benefits.
• Document all registration activities in the system of record for audit traceability.
• Maintain knowledge of Medicare (CMS) guidelines and payer requirements.
• Collect and document patient financial liabilities at time of service.
• Assist patients with financial assistance programs and charity referrals.
• Support quality improvement initiatives and risk management activities.

• High school diploma or GED required.
• 1 year of experience in Patient Access and/or billing with strong customer service background.
• Completion and passing of Patient Access Advocate II Advancement test.
• CHAA, CHAM or other industry equivalent certification preferred.
• Strong understanding of insurance and financial processing of accounts.
• Basic understanding of medical terminology and billing codes (DRG, ICD‑10, CPT, HCPCS).
• Proficient in EPIC ADT system.
• Ability to work independently and with diverse individuals.
• Effective communication and analytical skills.
• Knowledge of Microsoft Office Products.
• Completion of Patient Access Academy with a passing score of 85% or higher.
• Pass annual competency exam for all areas of responsibility.
• Pass EPIC proficiency test with an 85% score at completion of the Epic Training class.

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.

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 wellness activities like challenges, webinars, preventive screening and more.

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.

Presbyterian exists to improve the health of patients, members, and the communities we serve. We are a 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 1,600 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