Patient Accounting Collections Specialist

Presbyterian Healthcare Services
•$17 - $27•Onsite

About The Position

Presbyterian Healthcare Services is hiring a full-time, non-exempt Patient Accounting Collections Specialist based at the Reverend Hugh Cooper Administrative Center in Albuquerque, New Mexico. The role follows up on, collects, and resolves outstanding accounts receivable, supporting timely and accurate reimbursement for billed charges. Work includes accounts receivable follow-up, customer service, correspondence, and daily reconciliation of activities. The work shift is days. The specialist works assigned queues and reports, contacts insurers, patients, and employers about outstanding claims, and supplies supporting documentation such as medical records and itemized statements. The role maintains follow-up systems and account documentation, reports payer issues to leadership, consults with a lead on complex claims, and refers accounts for adjustment or legal action as appropriate. The specialist also cross-trains across Patient Accounting functions, participates in team communication, and follows HIPAA, PHS, and CMS requirements. The position uses Epic, FinThrive, FISS/DDE, payer portals, and Microsoft Office. Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system serving patients, members, and communities across New Mexico.

Requirements

  • High school diploma or GED required.
  • Strong organizational, communication, and problem-solving skills.
  • Attention to detail and ability to collaborate across teams.
  • Proficiency in Microsoft Office.
  • Ability to manage high-volume workloads in a fast-paced, changing environment.
  • Basic understanding of medical coding, including ICD-10, HCPCS, and CPT; claims forms UB04 and HCFA 1500; and electronic processing 837/835.

Nice To Haves

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

Responsibilities

  • Conduct accounts receivable follow-up for assigned work queues and miscellaneous A/R reports.
  • Contact insurance companies, patients, and employers to resolve outstanding claims.
  • Provide requested documentation, such as medical records and itemized statements, to support claim processing.
  • Maintain timely follow-up systems and document accounts according to PHS policies.
  • Identify and report insurance payer issues to leadership with supporting documentation.
  • Consult with a lead on complex claims and refer accounts for adjustment or legal action according to guidelines.
  • Cross-train across Patient Accounting functions to support collections and team flexibility.
  • Operate systems including Epic, FinThrive, FISS/DDE, payer portals, and Microsoft Office.
  • Participate in team meetings, communicate proactively, and foster positive working relationships.
  • Adhere to HIPAA regulations and comply with PHS and CMS standards.
  • Meet established guidelines to ensure timely and accurate reimbursement for billed charges.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Short-term disability insurance
  • Long-term disability insurance
  • Group term life insurance
  • Optional voluntary benefits
  • Employee Wellness rewards program with opportunities to earn gift cards through wellness activities
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