Presbyterian Healthcare Services
Presbyterian Healthcare Services
Presbyterian Healthcare Services न्यू मेक्सिको के विभिन्न समुदायों को सेवाएँ प्रदान करने वाला एक गैर-लाभकारी, एकीकृत स्वास्थ्य सेवा संगठन है। इसकी सेवाओं में अस्पताल, तत्काल चिकित्सा केंद्र, प्राथमिक और विशेष चिकित्सा क्लीनिक, VirtualPRES के माध्यम से वर्चुअल देखभाल, घरेलू स्वास्थ्य सेवाएँ और व्यक्तियों, Medicaid सदस्यों, Medicare Advantage में नामांकित लोगों तथा नियोक्ता समूहों के लिए स्वास्थ्य बीमा योजनाएँ शामिल हैं। संगठन कैंसर, न्यूरोसाइंस, प्रत्यारोपण, सर्जरी, व्यवहारिक स्वास्थ्य और अन्य चिकित्सीय विशेषज्ञताओं सहित अनेक क्षेत्रों में देखभाल प्रदान करता है। इन सेवाओं को MyChart, myPRES और बिलिंग सहायता जैसी रोगी सेवाओं का सहयोग मिलता है। इसके कार्यों में वित्तीय सहायता, सामुदायिक स्वास्थ्य पहल, परोपकारी कार्यक्रम और चिकित्सा शिक्षा से जुड़े साझेदारी कार्यक्रम भी शामिल हैं। स्वास्थ्य सेवा और बीमा क्षेत्र में कार्यरत व्यापक टीम के साथ Presbyterian Healthcare Services में चिकित्सीय, संचालन, प्रशासनिक और सहायक भूमिकाओं में करियर के अवसर उपलब्ध हैं।

Patient Accounting Collections Specialist - New Mexico Remote

Manage healthcare receivables, claims follow-up, payer communication, and account reconciliation remotely for Presbyterian Healthcare Services in New Mexico. The role supports accurate documentation, issue resolution, and compliant collections activity.

विवरण

  • Collect and resolve outstanding patient and insurance receivables
  • Complete assigned accounts receivable work queues and miscellaneous A/R reports
  • Communicate with insurers, patients, and employers about unresolved claims
  • Supply insurers with medical records, itemized statements, and other requested documentation
  • Keep claim follow-up systems current and support timely account resolution
  • Recognize insurance payer issues and report them with supporting documentation
  • Escalate complex claims to the appropriate lead for guidance
  • Share account issues with colleagues and the Follow-up & Collection Supervisor
  • Refer accounts for adjustments, agency placement, or attorney review under PHS guidelines
  • Cross-train across functions within the Patient Accounting Department
  • Record account activity in accordance with PHS policies and procedures
  • Use Epic, FinThrive, FISS/DDE, Presbyterian Health Plan Provider Portal, payer portals, and Microsoft Office
  • Attend team meetings and proactively raise work-related ideas and concerns
  • Build constructive working relationships with colleagues and PHS departments
  • Achieve performance objectives while following PHS policies and CMS requirements
  • Complete additional duties assigned by the Follow-up & Collection Supervisor or Manager

आवश्यकताएँ

  • High school diploma or GED is required
  • Healthcare clerical or customer service experience of under one year is preferred
  • Familiarity with Microsoft Office Suite is preferred
  • Strong organization, problem-solving, verbal communication, and written communication skills
  • Careful attention to detail and effective collaboration with other functions and management teams
  • Reliable work ethic and ability to contribute effectively in a team setting
  • Capacity to prioritize tasks and manage a high-volume workload
  • Comfort working in a fast-paced setting and adapting to changing payer rules and requirements
  • Basic familiarity with ICD-10, HCPCS, CPT, Revenue Codes, UB-04, and HCFA 1500 claim forms is preferred
  • Basic understanding of electronic 837 and 835 transaction processing is preferred
  • Basic knowledge of coordination of benefits and Medicare MSPQ is preferred
  • Basic knowledge of payer requirements and claim submission procedures for major carriers and intermediaries
  • Basic understanding of revenue cycle operations
  • Ability to maintain a private, distraction-free, HIPAA-compliant home workspace
  • Home office requires high-speed DSL or cable internet with at least 25 Mbps download and 10 Mbps upload speeds
  • Must protect confidential information and comply with HIPAA requirements

लाभ

  • Medical, dental, and vision insurance coverage
  • Short- and long-term disability insurance
  • Group term life insurance
  • Optional voluntary benefit programs
  • Employee Wellness rewards, including gift cards and wellness activities
  • Remote work arrangement
  • Home office setup supported by high-speed DSL or cable internet

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