Remote Denials Specialist - Patient Accounting

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

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Disability insurance

Life insurance

Voluntary benefits

Job summary

Presbyterian Healthcare Services is hiring a Patient Accounting Denials Specialist I to analyze root causes of denials and drive next-step resolutions. Responsibilities include A/R follow-up, submitting appeals, securing necessary documentation, and daily reconciliation of activities.

The role is full-time with remote work in New Mexico, requiring efficient communication, strong teamwork, and adherence to payer regulations. Join a mission-driven health system serving New Mexico communities.

Qualifications

• High school diploma or GED required, basic insurance collections training.
• Minimum two years experience in insurance follow-up, billing, and collections.
• Demonstrated ability to communicate effectively via telephone and in writing; computer literate.
• Must be passionate about improving patient experiences and community health.
• Strong work ethic and ability to work in a team environment.
• Able to prioritize, manage high-volume workload, and adapt to payer regulations.

Responsibilities

• Performs denial follow-up activities for assigned payors using work queues.
• Submits corrected claims, reconsiderations and/or appeals to overturn denials.
• Provides requested information (medical records, itemized statements) to insurers to process claims.
• Follows procedures to ensure timely follow-up on outstanding denials.
• Documents accounts per Presbyterian Healthcare Services policies/procedures.
• Utilizes EHR, claims clearinghouse, FISS/DDE, payer portals, and MS Office Suite.
• Maintains professional relationships with team members and external agencies.
• Participates in team meetings and communicates work-related ideas and concerns.

Skills

Communication

Customer service

Teamwork

Education

High school diploma or GED

Tools

EHR systems

Claims clearinghouse

FISS/DDE

Payer portals

Microsoft Office

Job description

Presbyterian Healthcare Services is hiring a Patient Accounting Denials Specialist I to analyze root causes of denials and drive next-step resolutions. Responsibilities include A/R follow-up, submitting appeals, securing necessary documentation, and daily reconciliation of activities.

The role is full-time with remote work in New Mexico, requiring efficient communication, strong teamwork, and adherence to payer regulations. Join a mission-driven health system serving New Mexico communities.