PFS Self-Pay Collections Specialist

Overview

Now hiring a Self Pay Collections Specialist-Patient Accounting

Follows-up, collects and resolves all outstanding self-pay accounts receivable. Performs a variety of duties including accounts receivable follow-up, customer service, correspondence response and daily reconciliation of activities. Meets guidelines to ensure timely and accurate reimbursement for all self-pay accounts

How you belong matters here.

We value our employees' differences and find strength in the diversity of our team and community.

At Presbyterian, it's not just what we do that matters. It's how we do it - and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.

Why Join Us

• Full Time - Exempt: No
• Job is based at Rev Hugh Cooper Admin Center
• Remote work from home: this job is intended to be conducting in the state of New Mexico.
• Work hours: Days
• Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employees.

Qualifications

• High school degree or GED is required, short-term training on insurance collections and claims processing preferred.
• Minimum six months experience in insurance follow-up and/or self-pay collections preferred.
• Demonstrated ability to communicate effectively via telephone and in writing. Computer literate.
• Must be able to work closely with co-workers

Responsibilities

• Ensures that self-pay accounts are handled in a customer service oriented manner that accomplishes the goal of collecting monies due to PHS, while at the same time, preserving the positive image of PHS that exists in the community.
• Responsible for assisting patients to identify any eligible means of financial assistance or, if none apply, working with the patient to make acceptable payment arrangements. Must communicate all issues to teammates and Self-Pay Collections Supervisor. Responsible for maintaining files containing all pertinent information for each account to include correspondence, EOB s, claims, etc.
• Must be an effective team member with good communication skills. Must participate in team meetings, communicate work related ideas and concerns proactively, and assist in finding appropriate resolutions.
• Responsible for contacting insurance companies, patients, and employers regarding outstanding hospital 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 account.
• Maintain collection reports consisting of outstanding accounts assigned. Must work and document the report according to Patient Accounting Department policies and procedures. Responsible for following up on all accounts listed on the report until resolved.
• Refer accounts, in accordance with PHS guidelines, to the Follow-up and Collection Manager for write-off, or agency or attorney referral. Refer difficult accounts to Self-Pay Collections Supervisor or Follow-up & Collections Manager for advice and/or assistance.
• Must work closely with all outside agencies contracted with the Patient Accounting Department and assist them with account resolution for any accounts assigned to them by the Self-Pay Collections Supervisor or Follow-up & Collection Manager.
• 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.
• Adhere to all PHS and Patient Accounting Department policies and procedures to promote a smooth working environment and uphold the PHS vision by practicing the CARES behaviors at all times.
• Performs other duties as assigned by the Self-Pay Collections Supervisor and/or the Follow-up & Collection Manager.

Benefits

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 ensure the patients, members and communities we serve can achieve their best health. We are a 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.

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.

Maximum Offer for this position is up to

USD $23.04/Hr.

Compensation Disclaimer

The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.