Job Listings

Now Hiring a Patient Accounting Denials Specialist I- Business-Office Physician Services    Responsible for root cause analysis and next step resolution of denials. Performs a variety of duties, including A/R follow-up, appeals, customer service, processing of correspondence, and daily reconciliation of activities.   How you belong matters here. We value our employees' differences and find strength in the diversity of our team and community.   At...

  Now Hiring a Patient Accounting Denials Specialist I- Business-Office Physician Services    Responsible for root cause analysis and next step resolution of denials. Performs a variety of duties, including A/R follow-up, appeals, customer service, processing of correspondence, and daily reconciliation of activities.   How you belong matters here. We value our employees' differences and find strength in the diversity of our team and community.

Now Hiring a Patient Accounting Denials Specialist I- Business-Office Physician Services    Responsible for root cause analysis and next step resolution of denials. Performs a variety of duties, including A/R follow-up, appeals, customer service, processing of correspondence, and daily reconciliation of activities.   How you belong matters here. We value our employees' differences and find strength in the diversity of our team and community.   At...

Now Hiring a Patient Accounting Denials Specialist I- Business-Office Physician Services    Responsible for root cause analysis and next step resolution of denials. Performs a variety of duties, including A/R follow-up, appeals, customer service, processing of correspondence, and daily reconciliation of activities.   How you belong matters here. We value our employees' differences and find strength in the diversity of our team and community.   At...

Now hiring a Denial/Appeals Specialist for Patient Accounting! Presbyterian is hiring a Denial/Appeals Specialist that will be responsible for tracking, appealing and resolving denied claims, as well as analyzing reimbursements according to contractual agreements. Performs a variety of duties including accounts receivable follow-up, customer service, correspondence response and daily reconciliation of activities. Identifies causal factors pertaining to denied claims and meets guidelines to ensure timely and accurate reimbursement for all billed charges

Now hiring-Medicare Financial Advocate Specialist   Responsible for providing customer service for members to help facilitate financial security by assisting our members with eligibility to qualify for full or partial dual enrollment. Provide proactive member outreach and education about program benets, advocating on behalf of interested and eligible members. From submitting forms to monitoring approvals to appealing denials, the member is guided throughout the process from start to finish.   How you belong matters here.

Now hiring Diet Aide I-Food Service.   Oversees the patient tray delivery system and feeding which includes meals, floor stock, nourishment, and the monitoring of physicians diet order with food items prepared. Participates in general food preparation and cooking for hospital patients, personnel and visitors How you belong matters here. We value our employees' differences and find strength in the diversity of our team and community.   At Presbyterian, it's not...

Come join our Housekeeping team as a Housekeeper  Cleans and services hospital area to ensure the safety, health, and morale of patients, visitors, and employees, and of patients recovery by helping provide a clean, attractive, and safe environment.   How you belong matters here. We value our employees' differences and find strength in the diversity of our team and community.   At Presbyterian, it's not just what we do that matters. It's how we do it - and it starts...

Now hiring a Case Manager-Inpatient-Acute Observation Applies Case Management principals in coordinating patient care across the continuum using assessment, care planning, implementation, coordination, monitoring and evaluation for cost effective and quality outcomes in a primarily inpatient setting, including complex discharge planning. Performs Utilization Management clinical review to ensure that services rendered to members meet clinical criteria and are delivered in the appropriate setting. Utilizes clinical skills and knowledge to coordinate, document and communicate all aspects of the utilization/benefit management program. Performs care...

Now hiring a Patient Access Advocate I   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...

Now hiring a Utilization Management Nurse Specialist   Albuquerque Metro Residents Only. The UM Nurse Specialist conducts clinical reviews to ensure that services provided to members meet clinical criteria and are delivered in appropriate settings. Using clinical expertise, coordinates, documents, and communicates all aspects of utilization and benefit management, handling both prospective (pre-service and concurrent) and retrospective care reviews. They assist providers and members in coordinating care with in-plan providers and preferred out-of-plan providers. Responsibilities include validating...

Now hiring a Patient Access Advocate I   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...

Now hiring a RN/LPN- Abstract Senior Oversees and performs the Medical Record Retrieval, Review and Reporting process to support HEDIS, STARs, HEDIS Like, supplemental, and other required regulatory reporting as well as PHP Board approved health management initiatives across the enterprise. The role assists with ensuring clinical and fiscal improvements and documents service delivery in accordance with Presbyterian Health Plan policies. The Senior Abstractor will be asked to perform duties where clinical decision-making may be necessary, training and over read responsibilities. How you belong...

Our Progressive Care team is looking for a Charge RN to join its team. Charge RN will work dnder the direction of the Nursing Director, works with the Department RN Manager and RN Assistant Manager as a part of the management/leadership team to provide clinical and operational shift supervision of care processes which includes patient flow, exceptional care experiences, quality processes, patient safety, and direction of unit staff in designated service area(s). May provide direct patient care Acute Medical Step-Down: -

Now hiring a Referral Coordinator-Urology Navigate complex requests from referring providers and their offices, primarily via phone. Develop and maintain positive working relationships with providers and referring offices. Address requests and concerns using knowledge of organization and ability to identify resources; Use high level of diplomatic skill to handle all calls in positive and professional manner. Advanced scheduling for specialty or radiologic procedures; Recognize payor requirements and obtaining prior authorization/certification/referrals for visits/procedures; Return scheduling knowledge to include the ability to scrub schedules for accuracy and efficiency in home department; Monitor in-baskets and...

  Presbyterian is seeking a Supervisor, Polysomnography Technologist to lead our sleep lab team and ensure the highest quality of patient care. If you are an experienced polysomnography technologist looking for an opportunity to advance your career, this role offers the chance to oversee operations, mentor staff, and contribute to the success of our sleep medicine program. Type of Opportunity: Full Time (0.9 FTE/36 hours per week)

Presbyterian is hiring a charge RN for our Cardiac Vascular Unit. On our unit we believe in going above and beyond to provide exceptional patient care, this can be seen by our low metrics. Our 22 bed unit is committed to the health of our patients. We are looking for nurses who display attention to detail and demonstrate Cardiac and Vascular knowledge. This progressive care unit is a step-down unit in the Heart and Vascular program dedicated to the special care required for patients who are recovering from vascular/cardiac surgeries, and are working towards specializing. We are a Telemetry acuity unit committed to the health...

Now hiring a Supervisor-Denials & Appeals! Presbyterian is seeking a Supervisor-Denials & Appeals to supervises and coordinates the daily activities of the Denial & Appeals Team to ensure that all third-party and government denials are captured and processed appropriately to maximize reimbursement. Directs appeal activities in accordance with Presbyterian PFS policies and objectives and in accordance with payer agreements and guidelines. Assists manager with the development, analysis and implementation of strategies to improve denial overturn rates and reduce overall denial rates, improving cash collections. Continuously reviews processes looking for ways...

Presbyterian is seeking a Unit Secretary/Nurse Tech to join our Cardiac progressive Care Unit at Presbyterian Hospital to perform secretarial/clerical duties while acting as a communication center for the nursing unit. Our Emergency Department is a fast-paced and dynamic environment where teamwork and compassion are at the forefront of everything we do. As a Nurse Tech in the Emergency Department, you will play a crucial role in supporting our nursing staff and ensuring the smooth operation of the department. Nurse Techs perform specific patient care procedures (such as bedside testing) under the direction of a licensed Nurse and / or performs specific support-procedures...

Presbyterian is seeking a Unit Secretary/Nurse Tech to join our Progressive Care Unit at Presbyterian Hospital to perform secretarial/clerical duties while acting as a communication center for the nursing unit. Our Emergency Department is a fast-paced and dynamic environment where teamwork and compassion are at the forefront of everything we do. As a Nurse Tech in the Emergency Department, you will play a crucial role in supporting our nursing staff and ensuring the smooth operation of the department. Nurse Techs perform specific patient care procedures (such as bedside testing) under the direction of a licensed Nurse and / or performs specific support-procedures for the...