Patient Accounting Collections Specialist

🔥 1 minute ago

🌶️ New Mexico – Remote

🌶️ New Mexico – Remote

💵 $16 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📞 Collections

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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Presbyterian Healthcare Services

WebsiteLinkedInAll Job Openings

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

• Follow up on, collect, and resolve outstanding accounts receivable • Perform accounts receivable follow-up for assigned work queues and miscellaneous A/R reports • Contact insurance companies, patients, and employers regarding outstanding claims • Provide medical records, itemized statements, and other information requested by insurers • Maintain systems for timely follow-up on outstanding claims • Identify and report insurance payer issues with supporting documentation • Consult with the lead regarding difficult claims • Communicate issues to teammates and the Follow-up & Collection Supervisor • Refer accounts for adjustment, agency placement, or attorney referral according to PHS guidelines • Cross-train in Patient Accounting Department areas • Document accounts according to PHS policies and procedures • Operate Epic, FinThrive, FISS/DDE, Presbyterian Health Plan Provider Portal, payer portals, and Microsoft Office Suite • Participate in team meetings and proactively communicate work-related ideas and concerns • Maintain positive working relationships with team members and PHS departments • Meet goals and objectives in compliance with PHS policies and CMS rules and regulations • Perform other duties assigned by the Follow-up & Collection Supervisor and/or Manager

🎯 Requirements

• High School diploma or GED required • Less than 1-year healthcare clerical or customer service experience preferred • Experience with Microsoft Office Suite products preferred • Excellent organizational, problem-solving, verbal and written communication skills • Attention to detail and ability to interact effectively with other functional areas and management teams • Strong work ethic and ability to work effectively in a team environment • Ability to prioritize and manage a high-volume workload • Ability to work in a fast-paced environment and adapt to changing payer regulations and requirements • Basic knowledge of ICD-10, HCPCS, CPT codes, Revenue Codes, UB04 and HCFA 1500 claim forms preferred • Understanding of electronic processing of 837 and 835 preferred • Basic knowledge of coordination of benefits and Medicare MSPQ preferred • Basic knowledge of payer requirements and claim submission processes for major insurance carriers and intermediaries • Basic knowledge of revenue cycle processes • Ability to provide a confidential, HIPAA-compliant home workspace free from distractions • High-speed DSL or cable modem for home office with minimum 25 Mbps download and 10 Mbps upload speed • Must maintain confidentiality and adhere to HIPAA guidelines/regulations

🏖️ Benefits

• Medical, dental, and vision coverage • Short-term and long-term disability insurance • Group term life insurance • Optional voluntary benefits • Employee Wellness rewards program with gift cards and wellness activities • Remote work arrangement • Home office requirement supported by high-speed DSL or cable modem access