Patient Accounting Collections

Presbyterian Healthcare Services

Alaska

On-site

USD 23,000 - 37,000

Full time

4 days ago
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Benefits offered by this job

Benefits package
Wellness program

Job summary

Presbyterian Healthcare Services in Albuquerque, NM seeks a Patient Accounting Collections Specialist to follow up, collect, and resolve outstanding accounts receivable. You will contact insurance companies, patients, and employers, provide requested documents, and ensure timely reimbursement.

The role requires strong communication, organization, and ability to work in a fast-paced environment. Full-time days, HIPAA compliance, and cross-functional teamwork are emphasized.

Qualifications

  • High School diploma or GED required.
  • Healthcare clerical or customer service experience preferred.
  • Strong communication skills, both verbal and written, with attention to detail.
  • Ability to interact effectively with multiple departments and management teams.

Responsibilities

  • Perform accounts receivable follow-up for assigned queues and reports.
  • Contact insurance companies, patients, and employers regarding outstanding claims.
  • Provide requested information (medical records, statements, etc.) needed to process claims.
  • Maintain a system to ensure timely follow-up for each outstanding claim.
  • Identify and report payor issues with relevant documentation (EOBs, claims).
  • Consult with lead on next steps for difficult claims.
  • Communicate issues to teammates and Follow-up & Collection Supervisor.
  • Refer accounts for adjustment, agency placement, or attorney referral as needed.
  • Cross-train in Patient Accounting areas to understand all collections aspects.
  • Document accounts per PHS policies and HIPAA rules.

Skills

Communication skills
Team player
Organization
Problem solving

Education

High School diploma or GED

Tools

Epic
FinThrive
FISS/DDE
Provider Portal
Payer portals
Microsoft Office

Job description

Patient Accounting Collections Specialist

2026-10-08 Presbyterian Healthcare Services all cities,AK

Patient Accounting Collections Specialist

2026-10-08 Presbyterian Healthcare Services all cities,AK

Description:
9521 San Mateo NEAlbuquerque, NM 87113-2237
Location Address:
9521 San Mateo NEAlbuquerque, NM 87113-2237
Compensation Pay Range:
Minimum Offer $16.66Maximum Offer $26.70Now Hiring: Patient Accounting Collections Specialist
Summary:
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.
Type of Opportunity: Full timeJob Exempt: NoJob is based: Reverend Hugh Cooper Administrative CenterWork Shift: Days (United States of America)

  • Performs accounts receivable follow-up activities for their assigned work queues and/or miscellaneous A/R reports.
  • Responsible for contacting insurance companies, patients, and employers regarding outstanding claims.
  • Responsible for providing any information (medical records, itemized statements, etc) requested by insurance companies to process claims.
  • Must maintain a system to ensure timely follow up is completed for each outstanding claim.
  • Responsible for identifying and reporting insurance payor issues to lead, providing all pertinent information to include examples, correspondence, EOBs, claims, etc.
  • Consult with lead regarding next steps with difficult claims.
  • Must communicate all issues to teammates and Follow-up & Collection Supervisor.
  • Refer accounts, in accordance with PHS guidelines, to leadership for adjustment, agency placement or attorney referral.
  • Cross train in the various Patient Accounting Department areas to be completely familiar with all aspects of patient accounting functions as they relate to collections.
  • Perform other duties as assigned by the Follow-up & Collection Supervisor and/or Manager.
  • Document accounts in accordance with established PHS policies and procedures.
  • Effectively operates and is familiar with various computer systems. These may include the following: Epic, FinThrive, FISS/DDE, Presbyterian Health Plan Provider Portal, Payer portals, Microsoft Office Suite.
  • Must be an effective team member with great communication skills.
  • Must participate in team meetings and communicate work related ideas and concerns proactively.
  • Must develop and maintain positive working relationships with team members and all PHS departments.
  • Ensures that goals and objectives are met in conformity with PHS policies and procedures and CMS compliance rules and regulations.
  • Maintains strictest confidentiality, adheres to all HIPAA guidelines/regulations.

Qualifications:
High School diploma or GED required.
Less than 1-year healthcare clerical or customer service experience preferred.
Must be passionate about contributing to an organization focused on continuously improving patient experiences and the health of our community.
Experience with Microsoft Office Suite products preferred. Excellent organizational, problem-solving, verbal and written communication skills, along with, attention to detail and the ability to interact effectively with other functional areas and management teams are required.
Must have a strong work ethic and demonstrated ability to work effectively in a team environment.
Must be able to prioritize and manage a high-volume, workload. Must be able to work in a fast-paced environment and contend with continually changing payer regulations and requirements.
Basic knowledge of ICD-10, HCPCS, CPT codes, Revenue Codes, UB04 and HCFA 1500 claim forms and an understanding of electronic processing of 837 and 835 is preferred.
Basic knowledge of Coordination of benefits and the Medicare MSPQ preferred.
Must have basic knowledge of various payer requirements, claim submission processes for major insurances carriers and intermediaries.
Must have basic knowledge of the revenue cycle processes.
Must have the ability to provide a high-speed DSL or cable modem for a home office. A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
Must be able to provide a confidential workspace that is HIPPA compliant and free from distractions.

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.

WellnessPresbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

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 ServicesPresbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

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

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