Presbyterian Healthcare Services
Presbyterian Healthcare Services
Presbyterian Healthcare Services — Нью-Мексико штатындағы қауымдастықтарға қызмет көрсететін коммерциялық емес, интеграцияланған денсаулық сақтау ұйымы. Оның қызметі ауруханаларды, шұғыл медициналық көмек орталықтарын, алғашқы медициналық және бейінді тәжірибелерді, VirtualPRES арқылы көрсетілетін виртуалды медициналық көмекті, үйде көрсетілетін медициналық қызметтерді және жеке тұлғаларға, Medicaid қатысушыларына, Medicare Advantage бағдарламасына қатысушыларға әрі жұмыс берушілер топтарына арналған медициналық сақтандыру жоспарларын қамтиды. Ұйым онкология, неврология, трансплантация, хирургия, мінез-құлық денсаулығы және басқа да клиникалық мамандану бағыттары бойынша көмек көрсетеді. Бұл қызметтер MyChart, myPRES және есеп айырысуға көмек сияқты пациенттерге арналған сервистермен толықтырылады. Ұйымның жұмысына қаржылай көмек, қоғамдық денсаулық сақтау бастамалары, қайырымдылық бағдарламалары және медициналық білім беруге байланысты серіктестіктер де кіреді. Денсаулық сақтау мен сақтандыру салаларында кең ауқымды қызметкерлері бар Presbyterian Healthcare Services клиникалық, операциялық, әкімшілік және қолдау бағыттарында мансап мүмкіндіктерін ұсынады.

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.

Сипаттама

  • 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

Талаптар

  • 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

Артықшылықтар

  • 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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