Patient Accounting Collections Specialist

Presbyterian is seeking a talented Patient Accounting Collections Specialist.

The Patient Accounting Collections Specialists follows-up, collects, and resolves all outstanding accounts receivable. Performs a variety of duties including accounts receivable follow-up, customer service, correspondence response, and daily reconciliation of activities. Meets established guidelines to ensure timely and accurate reimbursement for all billed charges.

Thisis a Full-Time position - Exempt: No
• Job is based Rev Hugh Cooper Admin Center
• Work hours: Days

Ideal Candidate:

A detail-oriented team player with foundational healthcare knowledge, tech proficiency, and a passion for improving patient experiences in a dynamic environment.

• High School diploma or GED required; less than one year of healthcare clerical or customer service experience preferred.

• Strong organizational, communication, and problem-solving skills with attention to detail and ability to collaborate across teams.

• Proficient in Microsoft Office; able to manage high-volume workloads in a fast-paced, ever-changing environment.

• Basic understanding of medical coding (ICD-10, HCPCS, CPT), claims forms (UB04, HCFA 1500), and electronic processing (837/835).

• Familiarity with payer requirements, coordination of benefits, Medicare MSPQ, and revenue cycle processes preferred.

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

• Contacts insurance companies, patients, and employers to resolve outstanding claims.

• Provides requested documentation (e.g., medical records, itemized statements) to support claim processing.

• Maintains timely follow-up systems and documents accounts per PHS policies.

• Identifies and reports insurance payor issues with supporting documentation to leadership.

• Consults with lead on complex claims and refers accounts for adjustment or legal action per guidelines.

• Cross-trains across Patient Accounting functions to support collections and team flexibility.

• Operates various systems including Epic, FinThrive, FISS/DDE, payer portals, and Microsoft Office.

• Participates in team meetings, communicates proactively, and fosters positive working relationships.

• Adheres to HIPAA regulations and ensures compliance with PHS and CMS standards.

About Presbyterian Healthcare Services

Presbyterian offers a comprehensive benefits package to eligible employees, including medical, dental, vision, disability coverage, life insurance, and optional voluntary benefits.

The Employee Wellness Rewards Program encourages staff to engage in health-enhancing activities-like challenges, webinars, and screenings-with opportunities to earn gift cards and other incentives.

As a mission-driven organization, Presbyterian is deeply committed to improving community health across New Mexico through initiatives like growers' markets and local partnerships.

Founded in 1908, Presbyterian is a locally owned, not-for-profit healthcare system with nine hospitals, a statewide health plan, and a growing multi-specialty medical group. With nearly 14,000 employees, it is the largest private employer in the state, serving over 580,000 health plan members through Medicare Advantage, Medicaid, and Commercial plans.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.