Patient Accounting Collections Specialist

This is a fully remote position, open to applicants in New Mexico.

📋 Description

• Follow up, collect, and resolve overdue accounts receivable.

• Conduct accounts receivable follow-up for designated work queues and miscellaneous A/R reports.

• Communicate with insurance companies, patients, and employers about pending claims.

• Provide insurers with medical records, itemized statements, and any other requested information.

• Maintain systems for timely follow-up on unresolved claims.

• Identify and report insurance payer issues along with supporting documentation.

• Consult with the lead on complex claims.

• Relay issues to teammates and the Follow-up & Collection Supervisor.

• Refer accounts for adjustments, agency placements, or attorney referrals in line with PHS guidelines.

• Participate in cross-training within the Patient Accounting Department.

• Document accounts in accordance with PHS policies and procedures.

• Utilize Epic, FinThrive, FISS/DDE, Presbyterian Health Plan Provider Portal, payer portals, and the Microsoft Office Suite.

• Engage in team meetings and actively share work-related ideas and concerns.

• Foster positive working relationships with team members and other PHS departments.

• Achieve goals and objectives while adhering to PHS policies and CMS rules and regulations.

• Perform additional responsibilities as assigned by the Follow-up & Collection Supervisor and/or Manager.

⛳️ Requirements

• High School diploma or GED is required.

• Preferably less than 1 year of experience in healthcare clerical roles or customer service.

• Experience with Microsoft Office Suite products is preferred.

• Strong organizational, problem-solving, verbal, and written communication skills.

• Attention to detail and the ability to effectively interact with various functional areas and management teams.

• Strong work ethic and capability to work efficiently in a team setting.

• Ability to prioritize and manage a heavy workload.

• Capacity to thrive in a fast-paced environment and adapt to evolving payer regulations and requirements.

• Basic knowledge of ICD-10, HCPCS, CPT codes, Revenue Codes, UB04, and HCFA 1500 claim forms is preferred.

• Understanding of electronic processing of 837 and 835 forms is preferred.

• Basic familiarity with coordination of benefits and Medicare MSPQ is preferred.

• Familiarity with payer requirements and claim submission processes for major insurance carriers and intermediaries.

• Basic understanding of revenue cycle processes.

• Ability to maintain a confidential, HIPAA-compliant home workspace free from distractions.

• High-speed DSL or cable modem for home office with a minimum of 25 Mbps download and 10 Mbps upload speed.

• Must uphold confidentiality and adhere to HIPAA guidelines/regulations.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Short-term and long-term disability insurance.

• Group term life insurance.

• Optional voluntary benefits.

• Employee Wellness rewards program featuring gift cards and wellness activities.

• Remote work arrangement.

• Home office requirement supported by high-speed DSL or cable modem access.