Presbyterian Healthcare Services — Nyu-Meksiko bo‘ylab jamoalarga xizmat ko‘rsatuvchi notijorat, integratsiyalashgan tibbiyot tashkiloti. Uning faoliyati shifoxonalar, shoshilinch tibbiy yordam markazlari, birlamchi va ixtisoslashtirilgan amaliyotlar, VirtualPRES orqali virtual tibbiy yordam, uyda tibbiy xizmat ko‘rsatish hamda jismoniy shaxslar, Medicaid a’zolari, Medicare Advantage ishtirokchilari va ish beruvchilar guruhlari uchun tibbiy sug‘urta rejalarini qamrab oladi. Tashkilot onkologiya, nevrologiya, transplantatsiya, jarrohlik, xulq-atvor salomatligi va boshqa klinik mutaxassisliklar bo‘yicha tibbiy yordam ko‘rsatadi. Bu xizmatlar MyChart, myPRES va hisob-kitob bo‘yicha yordam kabi bemorlarga mo‘ljallangan xizmatlar bilan qo‘llab-quvvatlanadi. Uning faoliyatiga moliyaviy yordam, jamoat salomatligi tashabbuslari, xayriya dasturlari va tibbiy ta’lim bilan bog‘liq hamkorliklar ham kiradi. Tibbiyot va sug‘urta sohalarida keng qamrovli xodimlar jamoasiga ega Presbyterian Healthcare Services klinik, operatsion, ma’muriy va yordamchi yo‘nalishlarda martaba imkoniyatlarini taqdim etadi.
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.
Tavsif
- 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
Talablar
- 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
Imtiyozlar
- 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