Patient Accounting Collections Specialist I

Location Address:

Compensation Pay Range:

Summary:

Responsibilities:

Key Responsibilities

• Manage accounts receivable followup for assigned work queues and outstanding claims.
• Contact insurance companies, patients, and employers to resolve unpaid or delayed claims.
• Provide required documentation such as medical records and itemized statements to support claim processing.
• Maintain timely followup on all open accounts and ensure accurate claim tracking.
• Identify payer issues and escalate them with supporting documentation.
• Partner with leadership on complex claims requiring additional direction.
• Document all account activity in accordance with organizational policies and compliance standards.
• Refer accounts for adjustments, collections, or legal review based on established guidelines.
• Collaborate with team members, participate in meetings, and maintain strong crossdepartment relationships.
• Uphold HIPAA, CMS, and organizational compliance while maintaining strict confidentiality.

Qualifications:

• High school diploma or GED required.
• Less than 1 year of healthcare clerical or customer service experience preferred.
• Strong organizational, problemsolving, verbal and written communication skills with high attention to detail.
• Ability to work effectively in a fastpaced, highvolume environment and adapt to changing payer regulations.
• Demonstrated teamwork, strong work ethic, and commitment to improving patient and community health.
• Experience with Microsoft Office Suite preferred; ability to learn multiple billing and payer systems.
• Basic understanding of ICD10, HCPCS, CPT, revenue codes, UB04/HCFA1500 forms, and electronic claim transactions (837/835) preferred.
• Familiarity with coordination of benefits, Medicare MSPQ, and major payer submission requirements preferred.
• General knowledge of revenue cycle processes and claim workflows.
• Ability to maintain a HIPAAcompliant, confidential home workspace with reliable highspeed internet (minimum 25 Mbps download / 10 Mbps upload).

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

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