Patient Financial Advocate

Job Description

Patient Financial Advocate

Optimum Human + Southwest Women’s Oncology | Albuquerque, New Mexico

Why This Role Matters

A cancer diagnosis changes everything. And for many patients, the financial reality of treatment can be as overwhelming as the diagnosis itself.

The Patient Financial Advocate stands between patients and that confusion—translating the complexity of insurance, billing, and financial assistance into clarity, confidence, and relief.

This role is not administrative support. It is a critical function that protects patients from preventable financial hardship and protects the practice through revenue integrity and compliance precision.

We believe that financial advocacy done right is an act of compassion and we hold it to the same standard as clinical care. We hire for attitude and aptitude above all else. Credentials matter, but who you are and how you grow matter more.

Who We Are

Southwest Women’s Oncology (SWWO) is New Mexico’s leading gynecologic oncology practice, delivering advanced cancer care with skill, courage, and compassion.

Optimum Human and Optimum Infusion extend that mission into performance medicine, infusion services, longevity, recovery, hormone optimization, medical weight loss, peptide therapies, hyperbaric medicine, aesthetics, and human performance.

Together, we operate as a single integrated platform committed to one mission:

We exist to deliver new possibilities in medical care, human performance, and health by uniting passion, knowledge, and skill.

The Opportunity

This is not a “explain the bill and move on” role. You will serve as the primary financial navigator for patients across both practices, working at the intersection of revenue cycle integrity, compliance, and patient advocacy.

You will own the financial clearance process from pre-service through resolution—educating patients, securing assistance, facilitating collections, and ensuring nothing falls through the cracks. You will work alongside:

• Clinical teams managing active oncology and infusion treatment plans
• Billing and coding staff navigating complex insurance and reimbursement workflows
• Front office teams coordinating patient scheduling and financial intake
• Pharmaceutical manufacturers, foundations, and assistance programs
• Compliance and regulatory frameworks including the No Surprises Act

You will be the person patients trust when they don’t know where to turn—and the professional the practice relies on to get it right.

What You’ll Own

Patient Financial Clearance & Education

• Review patient accounts and insurance coverage prior to treatment to identify financial risk and outstanding balances.
• Generate and deliver Good Faith Estimates (GFEs) in compliance with the No Surprises Act and applicable federal regulations prior to initiation of services.
• Provide accurate cost estimates for chemotherapy, infusion therapy, surgical procedures, and specialty services.
• Educate patients on insurance benefits, deductibles, coinsurance, and out-of-pocket responsibility with clarity and compassion.

Revenue Integrity & Collections

• Facilitate point-of-service collections and establish structured payment arrangements when appropriate.
• Monitor outstanding balances and follow up proactively to resolve accounts in a timely manner.
• Collaborate with billing staff to ensure financial workflows and documentation are accurate and complete.

Financial Assistance & Patient Advocacy

• Proactively identify and secure financial assistance on behalf of patients, including manufacturer copay assistance programs, drug replacement programs, foundation grants, and charitable funding resources.
• Assist patients in completing required applications and gathering supporting documentation.
• Monitor and manage awarded assistance funds, ensuring proper allocation to patient accounts.

Cross-Functional Collaboration

• Serve as a patient-centered resource for financial navigation throughout the entire course of treatment.
• Partner with clinical, billing, and front office teams to ensure seamless financial workflows.
• Communicate proactively with the care team regarding financial barriers that may impact treatment adherence.

Compliance & Documentation