Patient Accounting Denials Specialist

🕒 5 days ago

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Logo of Presbyterian Healthcare Services

Presbyterian Healthcare Services

10,000+ employees

Founded 1908

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Presbyterian Healthcare Services is an integrated, nonprofit healthcare system based in New Mexico that operates hospitals, urgent care clinics, specialty and primary care practices, virtual care (VirtualPRES), and health insurance plans. The organization provides a broad range of clinical services—including neuroscience, transplant, cancer care, surgery, behavioral health, and home health—while also running community health and charitable programs (financial assistance, community support, and partnerships with medical education). It offers individual, Medicaid, Medicare Advantage, and employer health plans, plus patient tools (MyChart/myPRES), billing support, and commitment to access and quality across the state.

📋 Description

• Performs denial follow-up activities for assigned payors utilizing work queues • Submits corrected claims, reconsiderations and/or appeals to overturn denials • Responsible for providing any information requested by insurance companies to process claims • Must follow process/procedures to ensure timely follow up on outstanding denials • Document accounts in accordance with established PHS policies/procedures

🎯 Requirements

• High school degree or GED required • Short-term training on insurance collections and claims processing • Minimum two years experience in insurance follow-up, billing, and collections • Demonstrated ability to communicate effectively via telephone and in writing • Computer literate

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • Short-term disability • Long-term disability • Group term life insurance • Optional voluntary benefits • Wellness program

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