Patient Accounting Collections Specialist

Location Address:

9521 San Mateo NE
Albuquerque, NM 87113-2237


Compensation Pay Range:

Minimum Offer $16.66
Maximum Offer $26.70
Now Hiring: Patient Accounting Collections Specialist

Summary:

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.

Type of Opportunity: Full time
Job Exempt: No
Job is based: Reverend Hugh Cooper Administrative Center
Work Shift: Days (United States of America)


Responsibilities:

• •Performs accounts receivable follow-up activities for their assigned work queues and/or miscellaneous A/R reports.
• •Responsible for contacting insurance companies, patients, and employers regarding outstanding claims.
• •Responsible for providing any information (medical records, itemized statements, etc) requested by insurance companies to process claims.
• •Must maintain a system to ensure timely follow up is completed for each outstanding claim.
• •Responsible for identifying and reporting insurance payor issues to lead, providing all pertinent information to include examples, correspondence, EOBs, claims, etc.
• •Consult with lead regarding next steps with difficult claims.
• •Must communicate all issues to teammates and Follow-up & Collection Supervisor.
• •Refer accounts, in accordance with PHS guidelines, to leadership for adjustment, agency placement or attorney referral.
• •Cross train in the various Patient Accounting Department areas to be completely familiar with all aspects of patient accounting functions as they relate to collections.
• •Perform other duties as assigned by the Follow-up & Collection Supervisor and/or Manager.
• •Document accounts in accordance with established PHS policies and procedures.
• •Effectively operates and is familiar with various computer systems. These may include the following: Epic, FinThrive, FISS/DDE, Presbyterian Health Plan Provider Portal, Payer portals, Microsoft Office Suite.
• •Must be an effective team member with great communication skills.
• •Must participate in team meetings and communicate work related ideas and concerns proactively.
• •Must develop and maintain positive working relationships with team members and all PHS departments.
• •Ensures that goals and objectives are met in conformity with PHS policies and procedures and CMS compliance rules and regulations.
• •Maintains strictest confidentiality, adheres to all HIPAA guidelines/regulations.

Qualifications:

• High School diploma or GED required.
• Less than 1-year healthcare clerical or customer service experience preferred.
• Must be passionate about contributing to an organization focused on continuously improving patient experiences and the health of our community.
• Experience with Microsoft Office Suite products preferred. Excellent organizational, problem-solving, verbal and written communication skills, along with, attention to detail and the ability to interact effectively with other functional areas and management teams are required.
• Must have a strong work ethic and demonstrated ability to work effectively in a team environment.
• Must be able to prioritize and manage a high-volume, workload. Must be able to work in a fast-paced environment and contend with continually changing payer regulations and requirements.
• Basic knowledge of ICD-10, HCPCS, CPT codes, Revenue Codes, UB04 and HCFA 1500 claim forms and an understanding of electronic processing of 837 and 835 is preferred.
• Basic knowledge of Coordination of benefits and the Medicare MSPQ preferred.
• Must have basic knowledge of various payer requirements, claim submission processes for major insurances carriers and intermediaries.
• Must have basic knowledge of the revenue cycle processes.
• Must have the ability to provide a high-speed DSL or cable modem for a home office. A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
• Must be able to provide a confidential workspace that is HIPPA compliant and free from distractions.

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.

We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services