Patient Financial Services - Self-Pay Collections Specialist

Presbyterian Healthcare Services; United States; On-site; USD 23,000 - 37,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

Wellness program

Job summary

Presbyterian Healthcare Services in Albuquerque, NM seeks a Patient Financial Services – Self-Pay Collections Specialist to follow up on outstanding self-pay accounts. You will collect monies due while maintaining a positive community image and helping patients find any eligible financial assistance.

The role requires strong communication, organizational skills, and the ability to work with insurance companies to process claims.

Qualifications

• High school degree or GED required.
• Minimum six months insurance follow-up or self-pay collections experience.
• Clear communication by phone and in writing.
• Experience with Microsoft Office preferred.
• Strong organizational and teamwork abilities.
• Ability to handle high-volume workload in a fast-paced environment.
• Basic knowledge of ICD-10, HCPCS, CPT, Revenue Codes, UB04 and HCFA 1500 forms.
• Ability to provide reliable home-office internet and HIPAA-compliant workspace.

Responsibilities

• Follow-up on self-pay accounts to collect monies due.
• Communicate with insurance companies, patients and employers about claims.
• Maintain files with correspondence, EOBs and claims.
• Provide information to insurance companies to process claims.
• Refer difficult accounts to supervisors for advice and action.
• Document reports and maintain collection metrics per policy.

Skills

Insurance follow-up

Self-pay collections

Communication skills

Teamwork

Attention to detail

ICD-10 knowledge

Microsoft Office

Education

High school diploma / GED

Tools

Microsoft Office

Job description

Location

9521 San Mateo NE Albuquerque, NM 87113-2237

Compensation Pay Range

Minimum Offer $16.66 Maximum Offer $26.70

Job Title

Patient Financial Services - Self-Pay Collections Specialist

Summary

Follows-up, collects, and resolves all outstanding self-pay 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 self-pay accounts.

Type of Opportunity

Full time

Job Exempt

No

Job is based

Reverend Hugh Cooper Administrative Center

Work Shift

Days (United States of America)

Responsibilities

Ensures that self-pay accounts are handled in a customer service oriented manner that accomplishes the goal of collecting monies due to PHS, while at the same time, preserving the positive image of PHS that exists in the community. Responsible for assisting patients to identify any eligible means of financial assistance or, if none apply, working with the patient to make acceptable payment arrangements. Must communicate all issues to teammates and Self-Pay Collections Supervisor. Responsible for maintaining files containing all pertinent information for each account to include correspondence, EOB s, claims, etc. Must be an effective team member with good communication skills. Must participate in team meetings, communicate work related ideas and concerns proactively, and assist in finding appropriate resolutions. Responsible for contacting insurance companies, patients, and employers regarding outstanding hospital 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 account. Maintain collection reports consisting of outstanding accounts assigned. Must work and document the report according to Patient Accounting Department policies and procedures. Responsible for following up on all accounts listed on the report until resolved. Refer accounts, in accordance with PHS guidelines, to the Follow-up and Collection Manager for write-off, or agency or attorney referral. Refer difficult accounts to Self-Pay Collections Supervisor or Follow-up & Collection Manager for advice and/or assistance. Must work closely with all outside agencies contracted with the Patient Accounting Department and assist them with account resolution for any accounts assigned to them by the Self-Pay Collections Supervisor or Follow-up & Collection Manager. 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. Adhere to all PHS and Patient Accounting Department policies and procedures to promote a smooth working environment and uphold the PHS vision by practicing the CARES behaviors at all times. Performs other duties as assigned by the Self-Pay Collections Supervisor and/or the Follow-up & Collection Manager.

Qualifications

High school degree or GED is required, short-term training on insurance collections andclaims processing preferred. Minimum six months experience in insurance follow-up and/or self-pay collections preferred. Demonstrated ability to communicate effectively via telephone and in writing. 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. 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 have a confidential workspace that is HIPPA compliant and free from distractions.

Benefits

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 Presbyterian'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 Services

Presbyterian 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 1,600 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.

EEO/DEI/Health & Safety

AA/EOE/VET/DISABLED. PHS is a drug‑free and tobacco‑free employer with smoke‑free campuses.

Mission Statement

We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services Here, we’re committed to a different way to make a difference. Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, nurses, employees, board members, and volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than one in three New Mexicans. We are part of New Mexico's history and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.