Qureos Mentor

Presbyterian Healthcare Services

<div>Location Address:
9521 San Mateo NE Albuquerque, NM 87113-2237

Compensation Pay Range:
Minimum Offer $57,241.60 Maximum Offer $87,422.40 Now Hiring: EAP Counselor
Summary:
Build your Career. Make a Difference. Presbyterian is hiring a skilled Employee Assistance Program Counselor to support Santa Fe, NM. Type of Opportunity: Full time Job Exempt: Yes Job is based: Reverend Hugh Cooper Administrative Center Work Shift: Days (United States of America)

Responsibilities:
The EAP counselor provides clinical mental health services directly to eligible employee assistance program clients and program participants for the State of New Mexico (SONM). The counselor will work in concert with EAP clinical and administrative staff on ways to improve efficiency and delivery of services. This position will provide EAP services at various on-site locations as well as via telehealth or phone, provide onsite or virtual Critical Incident Stress Debriefings (CISDs) for SONM employees, and will be the main point of contact for EAP-related consultations with managers and HR within SONM. Quarterly travel to state-wide sites within the State of NM will be required.
Some key responsibilities include:<ul><li>
Deliver direct services to individuals and groups using clinical assessment, brief solution-focused counseling, coaching, consulting, mediation, crisis response to employees in business environments.</li><li>
Assess clinical needs and triage clients to receive proper support through skill building, case management, resourcing, and referrals for longer-term therapy.</li><li>
Collaborate on team projects to improve EAP service delivery to employees, companies, and business partners.</li><li>
Consult with employees and organizations on a variety of EAP-related issues as needed.</li><li>
Collaborate with SONM Human Resources and organizational leaders to manage EAP referrals to address employee job performance concerns as needed.</li><li>
Clinical assessment of the level of risk, substance abuse and dependency, and 
appropriate level of care.</li><li>
Where required, facilitate on-site group support for work teams to debrief and provide clinical psychological first aid following a workplace critical incident (CISD).</li><li>
Develop effective working relationships across organizational lines within SONM to increase EAP utilization.</li><li>
Consult with Clinical Manager and/or EAP Director as needed regarding ethical or clinical concerns on a case-by-case basis.</li><li>
Maintain professional license and relevant certifications by participating in educational programs and completing all continuing education requirements in a timely manner.</li><li>
Support and engage with fellow EAP team members to help build a high-performance team.</li></ul>
Qualifications:<ul><li>
Master&rsquo;s degree in counseling, clinical psychology, or social work</li><li>
Current license to practice independently in New Mexico (LPCC, LMFT, LISW, or LCSW) license is required</li><li>
Obtain Certified Employee Assistance Professionals (CEAP) within 2 years of hire</li><li>
Obtain Substance Abuse Professional Certification (SAP) within 2 years of hire (preferred)</li><li>
Ability to travel and function independently of direct onsite supervision while providing high quality care</li></ul>
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.<h1 class="jobSectionHeader">
We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services</h1></div>

EAP Counselor

<div>Location Address:
3715 Southern Blvd SE Rio Rancho, NM 87124-2086

Compensation Pay Range:
Minimum Offer $39.15 Maximum Offer $59.77

Summary:
Transform patient outcomes with your expertise- build your career at Presbyterian Healthcare Services Outpatient Services! 
 
Sign on and relocation bonuses available for qualified candidates.<div>
How you grow, learn and thrive matters here. 
<ul><li>Educational and career development options, including tuition and certification reimbursement, scholarship opportunities</li><li>Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)</li><li>Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions)</li><li>Malpractice liability insurance</li><li>Loan forgiveness through the New Mexico Higher Education Department</li><li>EPIC electronic charting system</li></ul></div>
Type of Opportunity: Full time FTE: 1.00 Job Exempt: No Work Shift: Weekday Schedule Monday-Friday (United States of America)

Responsibilities:
Physical Therapist are movement experts who improve quality of life through hands-on care, patient education and prescribed movement. Our Physical therapist work as a team with physical therapy assistants to treat people of all ages and abilities.
In this position with Presbyterian&rsquo;s Outpatient rehabilitation department gives clinicians the opportunity to treat a variety of patients and the ability to work with a group of therapist that have a range in specialties. The Outpatient rehabilitation team is collaborative and patient-focused. We place a strong emphasis on providing orientation and mentorship in order to ensure the well-being and success of our new team members. Join a team that is committed to improving the health of our communities!
Additional Job Duties:<ul><li>
Evaluates patients, develops plans and goals, and implements treatment programs for improvement of physical or developmental dysfunction and independence in activities of daily living.</li><li>
Continuously reassesses treatment plans and goals.</li><li>
Educates and instructs regarding home programs and preventive measures as appropriate to patient, family, and others.</li><li>
Prepares written documentation as required by the profession and the department in a timely manner.</li><li>
Communicates with patient, family, physician, and other healthcare providers regarding patient care.</li><li>
Maintains established departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards.</li><li>
Participates in educational programs and inservices and other meetings as required. Participates on special project teams and other related duties as assigned and requested</li></ul><div><ul><li> 
Other duties as assigned.</li></ul> 
<ul><li>Settings may include inpatient, outpatient, long term care, community based care and home health care</li></ul> 
Pediatric Physical Therapist &Acirc;&iquest; the following also apply: 
<ul><li>Evaluate and treat infants, children, and adolescents for various health conditions. Addressing motor development, strength, range of motion, endurance, balance, coordination, gait, etc.</li><li>Interviewing children and family members, using physical examination to diagnose movement disorder.</li><li>Ability to evaluate and treat patient from 18yrs old and older.</li><li>Float to adult units if needed if pediatric patient census fluctuates.</li><li>Evaluates and treats pediatric patients from birth to 18yrs old, regarding the application of a wide variety of therapeutic interventions for rehabilitation of physical function and developmental disorders.</li><li>Settings include inpatient, inpatient emergency department.</li></ul></div>
Qualifications:<ul><li>
Bachelor's degree required.</li><li>
Doctor of Physical Therapy Preferred.</li><li>
NM License of Physical Therapy required.</li><li>
BLS required at time of hire.</li><li>
New graduates are encouraged to apply.</li></ul>
We're all about well-being, starting with yours. 
Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more. 
 
Learn more about our employee benefits. 
 
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. 
 
Compensation Disclaimer 
 
The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.<h1 class="jobSectionHeader">
We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services</h1></div>

Physical Therapist - Outpatient - Rio Rancho

<div>Location Address:
1100 Central Ave SE Albuquerque, NM 87106-4930

Compensation Pay Range:
Minimum Offer $36.41 Maximum Offer $55.60

Summary:
We are seeking a highly skilled and dedicated MRI Technician to join our team. The ideal candidate will be responsible for operating MRI equipment to produce high-quality diagnostic images, ensuring patient safety and comfort, and maintaining accurate records.<div>
How you grow, learn and thrive matters here. 
<ul><li>Educational and career development options, including tuition and certification reimbursement, scholarship opportunities</li><li>Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)</li><li>Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions)</li><li>Malpractice liability insurance</li><li>Loan forgiveness through the New Mexico Higher Education Department</li><li>EPIC electronic charting system</li></ul></div>
Type of Opportunity: PRN FTE: 0.00 Job Exempt: No Work Shift: Varied Days and Hours (United States of America)

Responsibilities:<ul><li>
Instructs patients regarding magnetic resonance imaging procedures; prepares, positions, and manipulates patients to ensure appropriate placement for imaging.</li><li>
Select appropriate imaging techniques, and calibrate console and peripheral hardware, as required.</li><li>
Obtains images, produces film records and backups from desk to storage media, and transfers for desk to workstation.</li><li>
Inspects for quality and completeness of exam.</li><li>
Performs quality assurance on magnetic resonance equipment and laser camera.</li><li>
Performs physical inventories and maintains clinical supplies.</li><li>
Provides instruction and guidance in magnetic resonance imaging procedures and equipment/facilities usage to staff and/or students in training.</li><li>
Ensures adherence to established PHS/PMG and department policies and procedures, objectives, quality assurance programs, safety standards, HIPAA, and compliance regulations.</li><li>
May assist in research and/or clinical subject scheduling.</li><li>
Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of the latest trends in the field of expertise.</li></ul>
Qualifications:<ul><li>
High School Diploma or GED required.</li><li>
Associate Degree preferred.
</li><li>Magnetic Resonance Imaging MRT (New Mexico licensure) required.</li><li>
American Registry Radiologic Technologists R.T. (MR) (ARRT)
</li><li>Or American Registry of Magnetic Resonance Imaging Technologist ARMRIT required.</li><li>
BLS Certification is required at the time of hire.</li></ul><ul><li>
Registered Technologist Trainees/Apprentices:
</li><li>PMRT (Provisional NM licensure) required.</li><li>
American Registry Radiologic Technologists R.T. (R) (ARRT) required.</li><li>
Successful completion of ARRT(MR) Boards within two years of hire.
</li></ul>We're all about well-being, starting with yours. 
Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more. 
 
Learn more about our employee benefits. 
 
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. 
 
Compensation Disclaimer 
 
The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.<h1 class="jobSectionHeader">
We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services</h1></div>

MRI Technician - Radiology

<div>Location Address:
9521 San Mateo NE Albuquerque, NM 87113-2237

Compensation Pay Range:
Minimum Offer $72,134.40 Maximum Offer $110,136.00 Now Hiring: Benefits Analyst
Summary:
The Benefits Analyst will serve as the functional and business process expert for Workday Benefits, ensuring ongoing optimization and support of benefit programs including open enrollment, employee benefit elections and plan year management. Uses analytical, technical, and problem-solving skills to support, maintain, and optimize the Workday Benefits module. The analyst will provide best practice guidance, resolve system issues, and deliver solutions that support Presbyterian&rsquo;s health and welfare strategies. Type of Opportunity: Full time Job Exempt: Yes Job is based: Reverend Hugh Cooper Administrative Center Work Shift: Days (United States of America)

Responsibilities:<ul><li>Serve as the primary point of contact for all Workday benefits configuration, troubleshooting, testing, and enhancement requests.</li><li>Analyze benefits data and system workflows to identify opportunities for process improvement and automation.</li><li>Develop and maintain documentation, user guides, and training materials for HR and business users.</li><li>Troubleshoot issues, implement enhancements, and ensure data integrity through audits, reporting, and reconciliation activities.</li><li>Monitor system performance, user feedback, and business needs to recommend and implement process improvements that reduce manual processing time and improve accuracy.</li><li>Support annual open enrollment cycle, including system setup, testing, and post-cycle analysis.</li><li>Provide end-user support, training, and documentation efforts for end-users and stakeholders to drive adoption and understanding of compensation tools.</li><li>Stay current on Workday releases and industry best practices, proactively recommending enhancements.</li><li>Ability to manage cross-functional projects and influence stakeholders at all levels.</li><li>Investigate and perform root cause analysis on system errors.</li><li>Proactively evaluates and recommends adoption of changes as they meet organizational needs and implement system capabilities.</li><li>Gather and document business requirements and translate them into configurations.</li></ul>
This is a functional Benefits Analyst role, not an IT or platform configuration position. The ideal candidate has deep health and welfare benefits expertise and uses Workday as a tool to support benefit plan setup, annual plan year changes, open enrollment, reporting, and employee elections.
Work Arrangement:<ul><li>
Hybrid: For candidates within 60 miles of Albuquerque, on-site presence is expected on Tuesday, Wednesday, and Thursday</li><li>
Remote: Open to U.S.-based applicants (excluding CA, IL, ND, NY, OH, WA, and WY)</li></ul>
Qualifications:
&bull; Bachelor&rsquo;s degree is required in Human Resources, Business, Information Systems, or related field. 6 years of additional experience can be substituted in lieu of degree. &bull; Minimum three years of HRIS experience, with two years of hands-on Workday HCM configuration experience, specifically in benefits. &bull; Proficient in Workday Core HCM, reporting, security, calculated fields, and business process configuration. &bull; Experience supporting benefit planning cycles in a corporate environment. &bull; Ability to manage sensitive data with discretion and ensure compliance with organizational policies. &bull; Proven ability to design and sustain business processes, especially in environments with evolving system capabilities. &bull; Advanced proficiency in Excel and data analysis tools for reporting. &bull; Experience with testing, configuration, and troubleshooting within Workday or other ERP platforms. &bull; Excellent communication skills with the ability to translate technical concepts into business language.
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.<h1 class="jobSectionHeader">
We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services</h1></div>

Benefits Analyst

<div>Location Address:
2400 Unser Blvd Rio Rancho, NM 87124

Compensation Pay Range:
Minimum Offer $15.58 Maximum Offer $21.19 Now Hiring: Patient Access Advocate I-Emergency Department-CDS
Summary:
The Patient Access Advocate I provides primary registration of patient accounts for self-pay, government and commercial accounts on date of service for scheduled and unscheduled visits. Perform registration functions, including updating of demographics, insurance verification, collection of point of service liabilities and documentation of registration information within the ADT system. Confirm account being registered has accurate information to ensure clean billing. Must possess basic knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access. Provide the highest level of customer service to patients/family at time of service through registration interactions as well as providing wayfinding to patients and/or visitors. Type of Opportunity: Full time Job Exempt: No Job is based: Presbyterian Rust Medical Center Work Shift: 12 Hour Nights (United States of America)

Responsibilities:
Customer Service and Caring Practices: *Ability to provide exceptional patient experience for patients and patient families by using CARES, AIDET and EPE tools. *Addresses and attempts to appropriately resolve complaints in the moment by using key words at key times and de-escalation processes. *Ability to manage conflict and appropriately request the help of a supervisor when needed. *Implement PROMISE and CARES behaviors in every encounter. *Educates patients for whom they speak regarding insurance benefits and liabilities. *Ensures accounts are financially cleared at time of service through account review. to alleviate patient concerns over hospital financial matters Encounter Components: *Performs the patient registration process. Manage the accurate collection of patient data which includes but is not limited to; *Obtain/confirm and enter demographic and other financial information, not obtained during pre-registration/financial clearance process, necessary for account completion. *Obtain missing insurance information, to include policy number, group number, date of birth, and insurance phone number if not already identified in account. *Verify insurance for eligibility and benefits using online electronic verification system or by contacting payer directly. *Accurately document actions taken in the system of record to drive effective follow-up and ensure an accurate audit trail. *Maintain ongoing knowledge of authorization requirements and payer guidelines. Maintain a knowledge of Medicare (CMS) guidelines as it relates to admissions and outpatient services. Ensuring compliance with admissions forms, benefit entitlement verification, and billing requirements. *Ensure accurate completion of MSPQ at time of service if not completed during financial clearance process. *Daily focus on attaining productivity standards. *Monitor and track Data Quality program to ensure errors are corrected at time of service. . *Maintain appropriate records, files, and timely and accurate documentation in the system of record. Other duties as assigned Financial Accountabilities: *Collects identified patient financial obligation amounts including residual balance if applicable. Collect liability from patient at time of service. *Educate patients on financial assistance, charity or other programs that may be available. *Refers as appropriate to on site Financial Advocate or to the Financial Advocacy Center Patient Relations: *Complete any information missing from the account to ensure accuracy at time of visit. *Transparency with patients through communication of patient liabilities.. Quality Improvement: *Perform assigned patient care responsibilities, which may include but not limited to: *Cooperate fully in all risk management activities and investigations. *Report promptly any suspected or potential violations to laws, regulations, procedures, policies, and practices, and cooperate in related investigation. *Conduct all transactions in compliance with all company policies, procedures, standards, and practices. *Demonstrate knowledge of all applicable compliance and legal requirements of the job based on the scope of practice of the position. 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 diploma/GED *6 months experience in healthcare setting or 1 year customer service background. *Pass 2 week Patient Access Academy with a passing score of 85% or higher (within 6 mos of start). *CHAA, CHAM or other industry equivalent certification preferred *Basic understanding of insurance preferred. *Basic understanding of medical terminology and billing codes (DRG, ICD-10, CPT, HCPCS) preferred *Requires basic understanding of registration and healthcare. *Demonstrated strong keyboarding skills, ensuring efficient data entry and documentation. *Knowledge in Microsoft Office Products. *Pass EPIC proficiency test required with a 85% score at completion of the Epic Training class. UPDATED 7/30/2025
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.<h1 class="jobSectionHeader">
We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services</h1></div>

Patient Access Advocate I-Emergency Department-CDS

<div>Location Address:
9521 San Mateo NE Albuquerque, NM 87113-2237

Compensation Pay Range:
Minimum Offer $15.60 Maximum Offer $22.12 Now Hiring: Patient Access Account Specialist I-ABQ
Summary:
Under the direction of the Patient Access Supervisor, the Patient Access Account Specialist I provides basic functions to financial clear patient accounts for government and commercial accounts prior to the date of service. Performs basic financial clearance functions, including insurance verification, authorization, collection and documentation of patient demographics, benefit analysis, and pre-service collections. The Patient Access Account Specialist I will ensure follow up on authorizations for scheduled and Urgent/Emergent procedures and admissions until date of service or discharge for admissions. The Patient Access Account Specialist I must possess a basic knowledge of Medicare (CMS) guidelines, as well as other Compliance Regulatory guidelines applicable to Patient Access to include HIPAA, EMTALA, and CMS guidelines of MSPQ. The Patient Access Account Specialist (PAAS I) monitors work queues for financial clearance and missing authorizations ensuring a payment source is identified and secured and there is a clean claim for billing. The Patient Access Account Specialist I acts as resource to all employees within Patient Access. The Patient Access Account Specialist I is responsible for providing the highest level of customer service to patients, ancillary departments and payers when financially clearing accounts. The PAAS I will work with ancillary departments to ensure the procedures scheduled and authorized meet payer requirements. The Patient Access Account Specialist I provides coverage to other areas and hospitals as needed to minimize overtime and guarantee the patients receive services as needed without registration delays. Type of Opportunity: Full time Job Exempt: No Job is based: Reverend Hugh Cooper Administrative Center Work Shift: Days (United States of America)

Responsibilities:
Customer Service and Caring Practices: *Achieve exceptional patient experience for patients and patient families by using CARES, AIDET and EPE tools. *Addresses and attempts to appropriately resolve complaints in the moment by using key words at key times and de-escalation processes. *Ability to manage conflict and appropriately request the help of a supervisor when needed. *Implement PROMISE and CARES behaviors in every encounter. *Educates patients for whom they speak regarding insurance benefits and liabilities. *Ensures accounts are financially cleared prior to date of service to alleviate patient concerns over hospital financial matters Encounter Components: *Performs the patient registration process. Manage the accurate collection of patient data which includes but is not limited to; *Obtain/confirm and enter demographic and other financial and clinical information necessary for final clearance of scheduled accounts. *Review Urgent/Emergent admission accounts for notification, financial clearance and authorization pre-discharge. *Obtain missing insurance information, to include policy number, group number, date of birth, and insurance phone number if not already identified in account. *Verify insurance for eligibility and benefits using online electronic verification system or by contacting payer directly. *Review and process work queues related to Patient Access pre-visit or urgent/emergent admissions, per department guidelines. *Review of accounts falling within the work queues to ensure the insurance information contains accurate policy ID#s, Group Name and Numbers, Subscriber information, Authorization numbers, as well as correct payer and Coordination of benefits prior to date of service. *Accurately document actions taken in the system of record to drive effective follow-up and ensure an accurate audit trail. *Maintain ongoing knowledge of authorization requirements and payer guidelines. Maintain a proficient knowledge of Medicare (CMS) guidelines as it relates to admissions and outpatient services. Ensuring compliance with admissions forms, benefit entitlement verification, and billing requirements *Ensure accurate completion of MSPQ prior to date of service. *Daily focus on attaining productivity standards; recommend new approaches for enhancing performance and productivity when appropriate. *Monitor and track Data Quality program to ensure errors are corrected prior to final bill and correct accounts as necessary. *Maintain appropriate records, files, and timely and accurate documentation in the system of record. *Work with ancillary departments to ensure coding, diagnosis and facility are authorization are in alignment. *Work with payers to ensure authorization is in place; initiating the auth when appropriate. *Coordinate efforts with Financial Advocates to secure payer source current and future visits. *Monitor work queues to identify late add-on accounts and complete financial clearance procedures prior to services to avoid unauthorized procedures from being performed. *Work with physician offices to resolve discrepancies in authorizations and scheduled procedures. Financial Accountabilities: *Collects identified patient financial obligation amounts including residual balance if applicable. Collect liability from patient prior to visit or make arrangements for payment at time of service. *Ensure a payer source has been identified prior to services being rendered. *Ensure authorization for correct procedure (CPT), facility, and date of service is obtained. Patient Relations *Contact patients pre-visit to complete any information missing from the account to ensure accuracy prior to visit. *Transparency with patients through communication of patient liabilities and authorization issue in a timely manner, allowing patients ability to make informed decisions. *Educate patients and answer questions from patients on benefits, liabilities and financial options. *Provide patient with way-finding for appointment at time of pre-registration. *Perform AIDET when speaking to patient to alleviate anxiety and confusion. Quality Improvement: *Perform assigned patient care responsibilities, which may include but not limited to: *Cooperate fully in all risk management activities and investigations. *Report promptly any suspected or potential violations to laws, regulations, procedures, policies, and practices, and cooperate in related investigation. *Conduct all transactions in compliance with all company policies, procedures, standards, and practices. *Demonstrate knowledge of all applicable compliance and legal requirements of the job based on the scope of practice of the position. C.A.R.E.S Behaviors: *Demonstrates CARES behaviors of Collaborate, be Accountable, Respect, Engage and Serve to all whom you encounter. *Other duties as assigned
Qualifications:
*High school diploma, continued education preferred *External and Internal Non-Patient Access Candidates: Pass Patient Academy with passing score of 85% or higher *Previous completion and passing of Patient Access Advocate II and III Advancement test. *A minimum of 2 years of work experiences in healthcare setting within Patient Access and/or billing plus strong customer service background. *Strong knowledge and understanding of insurance and financial processing of accounts. *Proficient in EPIC ADT system *Specialty Certifications: CHAA, CHAM or other industry equivalent certification preferred *Pass annual competency exam for all areas of responsibility. *Requires general knowledge of the customer encounter process which may include registration, contract requirements, and coordination of benefits. *Knowledge in Microsoft Office Products. *Demonstrated strong keyboarding skills, ensuring efficient data entry and documentation. *Pass EPIC proficiency test required with a 85% score at completion of the Epic Training class. UPDATED 7/29/25
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.<h1 class="jobSectionHeader">
We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services</h1></div>

Patient Access Account Specialist I-ABQ

<div>Location Address:
9521 San Mateo NE Albuquerque, NM 87113-2237

Compensation Pay Range:
Minimum Offer $15.87 Maximum Offer $23.04 Now Hiring: PFS Billing Specialist I-ABQ
Summary:
Accurately submit all insurance claims, for all payer types, including Government payers within claims clearinghouse application and patient accounting system. Resolve edits/rejections, ensuring accurate and timely claim submission in alignment with payer's regulations and filing limits. Adheres to compliance and regulatory rules as mandated by CMS, state and federal regulations, payer contracts and established Presbyterian Healthcare Services (PHS) department policies and procedures. Performs a variety of duties that include the use of payer web portals or calls to insurance companies to resolve billing errors. Review and resolve individual work queues within patient accounting system for clean import into clearinghouse. Responsible for submission of all electronic claims within clearinghouse. Submits paper claims to non-electronic payers with required documentation if necessary. Type of Opportunity: Full time Job Exempt: No Job is based: Reverend Hugh Cooper Administrative Center Work Shift: Weekday Schedule Monday-Friday (United States of America)

Responsibilities:
Responsibilities:<ul><li>
Prepare, process, and submit accurate and timely insurance claims for all payer types in accordance with payer requirements and department policies.</li><li>
Resolve pre‑billing edits and route accounts to appropriate departments when additional review is needed to ensure clean claim submission.</li><li>
Review and clear assigned work queues promptly to meet key performance indicators.</li><li>
Document all account activity in alignment with PHS policies and procedures.</li><li>
Contact insurance companies, patients, and employer groups to obtain required information for claim submission.</li><li>
Notify leadership of billing issues involving internal departments or contracted vendors.</li><li>
Submit both electronic and paper primary and secondary claims, including required HIPAA‑compliant attachments, medical records, and supporting forms.</li><li>
Stay current on billing procedure changes that impact claim processing or reimbursement.</li><li>
Operate effectively within multiple computer systems, including Epic, nThrive, FISS/DDE, payer portals, and Microsoft Office Suite.</li><li>
Contribute positively as a team member through strong communication, active participation in meetings, and collaborative relationships across PHS departments.</li><li>
Ensure goals are met in accordance with PHS policies, CMS regulations, and HIPAA confidentiality standards.</li><li>
Perform additional duties as assigned.</li></ul>
Qualifications:
Qualifications:<ul><li>
High School Diploma or GED required.</li><li>
Less than 1 year of clerical or customer service experience preferred.</li><li>
Passion for supporting an organization dedicated to improving patient experiences and community health.</li><li>
Proficiency with Microsoft Office Suite required.</li><li>
Strong organizational, problem‑solving, verbal and written communication skills with excellent attention to detail.</li><li>
Ability to work effectively in a team environment with a strong work ethic and positive collaboration skills.</li><li>
Ability to prioritize and manage a high‑volume workload in a fast‑paced environment with frequently changing payer regulations.</li><li>
Basic knowledge of ICD‑10, HCPCS, CPT, revenue codes, UB‑04/HCFA‑1500 claim forms, and electronic transactions (837/835) preferred.</li><li>
Basic understanding of coordination of benefits, Medicare MSPQ, and major payer submission requirements preferred.</li><li>
General knowledge of revenue cycle processes.</li><li>
Ability to maintain a HIPAA‑compliant, confidential home workspace with reliable high‑speed internet (minimum 25 Mbps download / 10 Mbps upload).</li></ul>
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.<h1 class="jobSectionHeader">
We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services</h1></div>

PFS Billing Specialist I-ABQ

Join Presbyterian Healthcare Services and explore 10   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.