Lead Customer Access Representative

JOB DESCRIPTION: CUSTOMER SERVICE / ADMINISTRATION / INSURANCE / COMMUNITY HEALTH

POSITION SUMMARY: This position provides receptionist duties for the center and performs a variety of clerical duties including patient appointments and registration, management of patient flow, billing, and payment collections. Provides lead role and ongoing oversight of front desk billing and registration functions.

REQUIREMENTS

EDUCATION AND/OR

EXPERIENCE:

• High school diploma or general education degree (GED) required.
• Minimum one year experience as a PMS Customer Access Representative.
• Computer experience required; ability to work with Windows-based programs strongly preferred.
• Experience or training in customer service industry preferred.
• Experience in medical billing preferred.
• Bilingual Spanish / English or Navajo / English preferred.

CERTIFICATES, LICENSES, REGISTRATIONS:

• If required to assist with state Centennial Care / Medicaid enrollment and/or NM Health Insurance Exchange (NMHIX) enrollment, must successfully complete required state and federal health insurance enrollment assistance training programs and obtain related certifications before providing enrollment services and maintain current while required to provide these services.

SCREENING REQUIREMENTS:

This position requires successful completion of an initial post-offer of employment:

• According to PMS Human Resources Policy 205.006, “Healthcare Personnel Testing & Immunization Requirements,” this position must comply with required testing and immunizations. Testing and immunizations including TB, Hepatitis B (consent or waiver), Tdap, MMR, and Varicella, will be available at the employee’s PMS health center. Influenza vaccines will be required according to dates set by the CDC and NMDOH.
• If assigned to the Checkerboard Area Health System, this position requires successful completion of an initial post-offer of employment Criminal Records Check.
• If required to assist with NM Health Insurance Exchange (NMHIX) enrollment, this position requires successful completion of a Criminal Records Check conducted by the NM Insurance Exchange as a part of their assistor’s application process, prior to providing these services.

ABOUT PMS

• Founded in 1969, PMS is a non-profit organization with over 1,300 employees providing services at 100+ locations in New Mexico.
• Our diverse services include primary care, dental, behavioral health, early childhood education, supportive living, and senior programs.
• We concentrate our resources on meeting the needs of underserved areas of New Mexico.
• We operate the largest network of federally qualified health centers in the state.
• PMS is not affiliated with Presbyterian Healthcare Services, Presbyterian Hospitals or Presbyterian Health Plan.

WHY PMS?

• Mission-driven organization
• Nine paid holidays and generous PTO
• Free Life & LTD coverage
• Free discretionary pension plan contribution
• Employee recognition and engagement activities
  
  Robust training program
• Tuition Reimbursement

• Job Identification 10527
• Job Category Administrative Support
• Job Schedule Full time
• Locations 835 Spruce Street, Suite C and D, Espanola, NM, 87532, US
• Program Description Valley Community Health Center