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Presbyterian Healthcare Services
Presbyterian Healthcare Services
Sponsor pentru viza H1BAsigurare de sănătateAsistență medicalăNonprofit
Presbyterian Healthcare Services este o organizație nonprofit integrată de servicii medicale, care deservește comunitățile din întregul stat New Mexico. Activitatea sa include spitale, servicii de îngrijire urgentă, cabinete de medicină primară și de specialitate, îngrijire virtuală prin VirtualPRES, servicii medicale la domiciliu și planuri de asigurare de sănătate pentru persoane fizice, membri Medicaid, persoane înscrise în Medicare Advantage și grupuri de angajatori. Organizația oferă îngrijire în domenii precum oncologie, neuroștiințe, transplant, chirurgie, sănătate comportamentală și alte specialități clinice, susținută de servicii pentru pacienți precum MyChart, myPRES și asistență pentru facturare. Activitatea sa include, de asemenea, sprijin financiar, inițiative de sănătate comunitară, programe caritabile și parteneriate asociate educației medicale. Cu o forță de muncă extinsă în domeniul serviciilor medicale și al asigurărilor, Presbyterian Healthcare Services oferă oportunități de carieră în funcții clinice, operaționale, administrative și de asistență.
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Locurile de muncă ale companiei

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.

USStatele Unite ale AmericiiNMNew Mexico
16 $ – 26 $ / oră
RemoteNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăColecții

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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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