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Presbyterian Healthcare Services
Presbyterian Healthcare Services
H1B Visa SponsorHealthcareHealthcare InsuranceNon-profit
Presbyterian Healthcare Services is a nonprofit, integrated healthcare organization serving communities across New Mexico. Its operations span hospitals, urgent care, primary and specialty practices, virtual care through VirtualPRES, home health, and health insurance plans for individuals, Medicaid members, Medicare Advantage enrollees, and employer groups. The organization provides care in areas including cancer, neuroscience, transplant, surgery, behavioral health, and other clinical specialties, supported by patient services such as MyChart, myPRES, and billing assistance. Its work also includes financial assistance, community health initiatives, charitable programs, and partnerships connected to medical education. With a broad healthcare and insurance workforce, Presbyterian Healthcare Services offers career opportunities across clinical, operational, administrative, and support functions.
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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.

USUnited StatesNMNew Mexico
$16 – $26 / hour
RemoteFull-timeMiddleSeniorEnglish RequiredCollections

Description

  • 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

Requirements

  • 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

Benefits

  • 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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