Build your Career. Make a Difference. Presbyterian is hiring a skilled Patient Accounting Collections Specialist to join our team.
Type of Opportunity: Full time
Job Exempt: No
Job is based: Reverend Hugh Cooper Administrative Center
Work Shift: Days (United States of America)
Responsibilities
Some key responsibilities include:
Conducts accounts receivable follow-up for assigned work queues and miscellaneous A/R reports.
Contacts insurance companies, patients, and employers to resolve outstanding claims.
Provides requested documentation (e.g., medical records, itemized statements) to support claim processing.
Maintains timely follow-up systems and documents accounts per PHS policies.
Identifies and reports insurance payor issues with supporting documentation to leadership.
Consults with lead on complex claims and refers accounts for adjustment or legal action per guidelines.
Cross-trains across Patient Accounting functions to support collections and team flexibility.
Operates various systems including Epic, FinThrive, FISS/DDE, payer portals, and Microsoft Office.
Participates in team meetings, communicates proactively, and fosters positive working relationships.
Adheres to HIPAA regulations and ensures compliance with PHS and CMS standards.
Requirements
High School diploma or GED required; less than one year of healthcare clerical or customer service experience preferred.
Strong organizational, communication, and problem-solving skills with attention to detail and ability to collaborate across teams.
Proficient in Microsoft Office; able to manage high-volume workloads in a fast-paced, ever-changing environment.
Basic understanding of medical coding (ICD-10, HCPCS, CPT), claims forms (UB04, HCFA 1500), and electronic processing (837/835).
Familiarity with payer requirements, coordination of benefits, Medicare MSPQ, and revenue cycle processes preferred.
All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
Wellness
Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.
About Presbyterian Healthcare Services
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services
Benefits
Health insuranceDental insuranceVision insurance
Additional Information
Location Address:
9521 San Mateo NE
Albuquerque, NM 87113-2237
Compensation Pay Range:
Minimum Offer $15.87
Maximum Offer $23.04
Now Hiring: Patient Accounting Collections Specialist
Phsorg · Reverend Hugh Cooper Administrative Center