Patient Accounting Collections Specialist

Presbyterian Healthcare Services

2d•$16 - $23•Onsite

About The Position

Presbyterian is hiring a skilled Patient Accounting Collections Specialist to join our team. The Patient Accounting Collections Specialists follows-up, collects, and resolves all outstanding accounts receivable. Performs a variety of duties including accounts receivable follow-up, customer service, correspondence response, and daily reconciliation of activities. Meets established guidelines to ensure timely and accurate reimbursement for all billed charges.

Requirements

High School diploma or GED required
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).

Nice To Haves

less than one year of healthcare clerical or customer service experience preferred
Familiarity with payer requirements, coordination of benefits, Medicare MSPQ, and revenue cycle processes preferred.

Responsibilities

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.