Presbyterian is seeking a talented Patient Accounting Collections Specialist.
The Patient Accounting Collections Specialists 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.
Ideal Candidate:
A detail-oriented team player with foundational healthcare knowledge, tech proficiency, and a passion for improving patient experiences in a dynamic environment.
QualificationsHigh School diploma or GED required; less than one year of healthcare clerical or customer service experience preferred.
Strong organizational, communication, and problem-solving skills with attention to detail and ability to collaborate across teams.
Proficient in Microsoft Office; able to manage high-volume workloads in a fast-paced, ever-changing environment.
Basic understanding of medical coding (ICD-10, HCPCS, CPT), claims forms (UB04, HCFA 1500), and electronic processing (837/835).
Familiarity with payer requirements, coordination of benefits, Medicare MSPQ, and revenue cycle processes preferred.
ResponsibilitiesConducts accounts receivable follow-up for assigned work queues and miscellaneous A/R reports.
Contacts insurance companies, patients, and employers to resolve outstanding claims.
Provides requested documentation (e.g., medical records, itemized statements) to support claim processing.
Maintains timely follow-up systems and documents accounts per PHS policies.
Identifies and reports insurance payor issues with supporting documentation to leadership.
Consults with lead on complex claims and refers accounts for adjustment or legal action per guidelines.
Cross-trains across Patient Accounting functions to support collections and team flexibility.
Operates various systems including Epic, FinThrive, FISS/DDE, payer portals, and Microsoft Office.
Participates in team meetings, communicates proactively, and fosters positive working relationships.
Adheres to HIPAA regulations and ensures compliance with PHS and CMS standards.
BenefitsAbout Presbyterian Healthcare Services
Presbyterian offers a comprehensive benefits package to eligible employees, including medical, dental, vision, disability coverage, life insurance, and optional voluntary benefits.
The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities—like challenges, webinars, and screenings—with opportunities to earn gift cards and other incentives.
As a mission-driven organization, Presbyterian is deeply committed to improving community health across New Mexico through initiatives like growers' markets and local partnerships.
Founded in 1908, Presbyterian is a locally owned, not-for-profit healthcare system with nine hospitals, a statewide health plan, and a growing multi-specialty medical group. With nearly 14,000 employees, it is the largest private employer in the state, serving over 580,000 health plan members through Medicare Advantage, Medicaid, and Commercial plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
Maximum Offer for this position is up to USD $23.04/Hr. Compensation Disclaimer The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs. Options Apply for this job onlineApplyShareEmail this job to a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Need help finding the right job? We can recommend jobs specifically for you! Click here to get started.Application FAQs