Patient Accounting Collections Specialist

Location Address:

Compensation Pay Range:

Summary:

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