Patient Accounting Denials Specialist I

🔥 1 hour ago

🌶️ New Mexico – Remote

🌶️ New Mexico – Remote

💵 $16 - $26 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧾 Accounting Manager

🚫👨‍🎓 No degree required

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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

• Perform denial follow-up activities for assigned payors using work queues • Submit corrected claims, reconsiderations, and appeals to overturn denials • Provide medical records, itemized statements, and other information requested by insurance companies • Conduct root cause analysis and determine next-step resolution of denials • Perform accounts receivable follow-up, appeals, customer service, correspondence processing, and daily reconciliation • Document accounts according to established PHS policies and procedures • Participate in team meetings and communicate work-related ideas and concerns • Develop and maintain professional relationships with team members, PHS departments, and outside agencies

🎯 Requirements

• High school degree or GED required • Short-term training on insurance collections and claims processing • Minimum two years of experience in insurance follow-up, billing, and collections • Demonstrated ability to communicate effectively by telephone and in writing • Computer literacy • Knowledge of electronic health records, claims clearinghouses, FISS/DDE, payer portals, and Microsoft Office Suite • 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 • Ability to adapt to changing payer regulations and requirements • Commitment to improving patient experiences and community health

🏖️ Benefits

• Medical, dental, and vision benefits • Short-term and long-term disability insurance • Group term life insurance • Optional voluntary benefits • Employee Wellness rewards program • Gift cards and other wellness rewards • Wellness challenges, webinars, and preventive screenings