Job Listings

Now hiring Diet Aide I-Food Service.   Offering a $1,000.00 sign-on  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...

Now hiring Diet Aide I-Food Service.   Offering a $1,000.00 sign-on  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...

Now hiring a Patient Financial Advocate- Rio Rancho OB/GYN   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...

Now hiring a Patient Registrar I-Float    - Coordinates the encounter or episode process for our patients and consumers by performing activities related to patient registration. - Accuracy of data capture to reduce denials is paramount. -

Now hiring a Procure to Pay Analyst Responsible for analyzing and optimizing the entire procurement to pay process within the company using the ERP software platform, including requisitions, purchase orders, supplier, invoices, payment, Expense/card transaction data, and ensuring compliance with company policies, all while utilizing ERP features and functionalities to streamline operations and identify areas for process improvement. How you belong matters here. We value our employees' differences and find strength in the diversity of our team and community. At...

Now Hiring: Child Life Specialist - Sign-On available!   Are you passionate about making a difference in the lives of children and families? We are currently hiring a Child Life Specialist to join our dynamic team at Presbyterian Healthcare Services!   What's in it for You?

Now hiring a Provider Network Management Relations Service Associate Primarily responsible for supporting the Network Relations Service Executive. With limited supervision responds to and resolves complex issues related to daily operations. The Network Relations Service Associate assists with data collection and distribution of clinical quality measures to the provider network in accordance with PHP s quality and incentive programs. Ensures providers receive exceptional service when responding to inquiries. The position assures an exceptional provider experience in support of organizational service goals including provider satisfaction and retention through ongoing network relationship development and management....

Now hiring a Health Services Assistant Responsible for supporting Health Services Coordination functions including, but not limited to, medical records coordination, technical retrospective claims review, referral/auth. entry, research which may include but not limited to claims, eligibility, benefits, provider contracts, coordination of benefits, provider education, data entry report generation, act as liaison to and/or assists PHS clinical leaders How you belong matters here. We value our employees' differences and find strength in the diversity of our team...

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: Clinical Documentation Specialist!   Presbyterian is seeking for a Clinical Documentation Specialist.  This position requires a proactive individual with the confidence to address documentation concerns while maintaining positive relationships with medical staff. If you’re ready to make a meaningful impact in clinical documentation, we’d love to hear from you! We are seeking a detail-oriented...

Now hiring a Technical Assistant/Courier – Hospital at Home.  Albuquerque Residents Only   Presbyterian is seeking a dedicated Technical Assistant/Courier to join our innovative Hospital at Home team. As a Technical Assistant/Courier, you will play a pivotal role in enhancing patient care through your technical expertise and support. In this dynamic position, you will not only provide essential courier services by transporting lab specimens, medications, and medical supplies to patients' homes but also serve as a...

Now hiring a PCSC Training Specialist Responsible for assessing, developing, delivering, documenting, and evaluating learning and training programs for specific jobs or processes for Presbyterian Customer Service Center. Responsible for providing customer service for members in the Salud, Medicare, IBAC, and Commercial plans; Provider Care; PMG patient scheduling; Financial Services; and Broker Services How you belong matters here. We value our employees' differences and find strength in the diversity of our team and community. At...

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 a Claims Configuration Medical Policy & Coding Specialist A liaison role in the organization between different departments of the Presbyterian Health Plan (PHP) outpatient services. Manage collaboration among multidisciplinary teams to resolve from beginning to end - which may entail preparation, execution, feedback and resolution of claims, coding and system configuration. Responsible for the research, analysis, planning, implementation, evaluation, and development of Payment Integrity configuration by providing guidance and oversight for translating medical policies into rules that may promulgate from either external purchased...

Now hiring a Medical Coder & Policy Research Specialist   Manage collaboration among multidisciplinary teams to resolve from beginning to end -  which may entail preparation, execution, feedback and resolution of claims, correct coding  and policy review. A liaison role in the organization between different departments of the Presbyterian Health Plan (PHP) outpatient services. Manage collaboration among multidisciplinary teams to resolve from beginning to end - which may entail preparation, execution, feedback and resolution of claims, coding and system configuration. Responsible for...

Now hiring a Bed Management Coordinator Presbyterian is seeking a skilled Bed Management Coordinator to be responsible for patient throughput and flow coordination in collaboration with the nursing bed coordinator and/or hospital supervisor, and entry of all admission, discharge and transfer (ADT) activity in EPIC at Presbyterian and Kaseman Hospitals. The bed controller is also responsible for interacting with medical staff within the system and those referring patients to Presbyterian, ensuring patients are admitting at the appropriate admission status, ensuring accommodation codes are accurate in Medipac, and escalating issues negatively...

Now hiring a Pro Fee Surgery Coder Has the knowledge and ability and will be required to code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures How you belong matters here. We value our employees' differences and find strength in the...

Now hiring a Network Contract Manager  The Provider Network Specialist is responsible for identifying network expansion opportunities and facilitating key recruitment related activities. The Provider Network Specialist drafts, reviews, negotiates and finalizes standard provider agreements, which includes but is not limited to single financial agreements based on sound analytical principles and approaches. The Provider Network Specialist provides implementation and ongoing support to Value Based Reimbursement and Value Based Program providers. The NCM I work assignments involve a low to moderately complex of variable factors. Work with minimal...

Are you a strategic thinker with a passion for financial systems and process improvement? Presbyterian Healthplan is seeking a Systems Finance Manager to lead the development of financial models, streamline reporting, and optimize data integrations across our systems. In this role, you will play a critical part in enhancing financial processes, ensuring seamless collaboration between Finance, Information Technology, Analytics, and other key departments. Your expertise in general ledger systems, planning and reporting applications, data marts, accounting principles, and health insurance will be essential in driving efficiency and accuracy across our financial operations.

Now hiring a IP Facility Coder III CCS   Has the knowledge and ability and will be required to code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures How you belong matters here. We value our employees' differences...