Government Claims & AR Specialist

Presbyterian Healthcare Services; Oregon; Hybrid; USD 23,000 - 37,000; Full time

Job summary

Presbyterian Healthcare Services is hiring a PFS Government A/R Specialist in Albuquerque, NM. The role focuses on accurately submitting insurance claims across payer types, including Government payers, while resolving denials and adhering to CMS and internal policies.

The candidate will use payer portals and clearinghouses, perform A/R follow-up, and maintain HIPAA-compliant practices in a fast-paced environment.

Qualifications

• Minimum one year experience in insurance follow-up, billing, and collections.
• Proficient with Microsoft Office Suite.
• Proficient knowledge of ICD-10, HCPCS, CPT codes, Revenue Codes, UB04 and HCFA 1500 forms.

Responsibilities

• Prepare, process, and file accurate and timely insurance claims for all payer types.
• Resolve prebilling edits for compliant and accurate billing.
• Adhere to CMS and payer regulations and internal policies.

Skills

Accounts Receivable

Insurance Billing

Payer Edits

Claims Submission

HIPAA Compliance

Education

High School Diploma or GED

Tools

Epic

nThrive

FISS/DDE

Provider Portal

Payer Portals

MS Office

Job description

Presbyterian Healthcare Services is hiring a PFS Government A/R Specialist in Albuquerque, NM. The role focuses on accurately submitting insurance claims across payer types, including Government payers, while resolving denials and adhering to CMS and internal policies.

The candidate will use payer portals and clearinghouses, perform A/R follow-up, and maintain HIPAA-compliant practices in a fast-paced environment.