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:

Build your Career. Make a Difference. Presbyterian is hiring a skilled Patient Accounting Collections Specialist to join our team.

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


Responsibilities:

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.

Some key responsibilities include:

• •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.

Qualifications:

• •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.

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