Accounts Receivable Specialist - Claims

Posted Yesterday
Be an Early Applicant
Albuquerque, NM, USA
In-Office
Junior
Healthtech • Professional Services • Social Impact • Telehealth
The Role
Processes healthcare billing and claims to support accurate, compliant, and timely reimbursement. Reviews electronic claim submissions and eligibility verifications, follows up on outstanding claims, contacts managed care organizations, and performs related accounts receivable activities.
Summary Generated by Built In

JOB CATEGORY: ACCOUNTING / FINANCE / BOOKKEEPING

POSITION SUMMARY: This position performs a variety of activities to ensure accurate, compliant and timely billing and appropriate reimbursement for all Presbyterian Medical Services health center services from all payor sources. Follows up on claims, contacts Managed Care Organizations (MCO’s), reviews electronic claims submissions and eligibility verifications.

Qualifications

REQUIREMENTS

EDUCATION AND/OR EXPERIENCE:

  • High school diploma or equivalent required.
  • One year of cash posting or billing experience required; healthcare-related experience preferred; OR a combination of education and/or experience in business or related field totaling at least one year.
  • Knowledge of automated business applications, including word-processing, spreadsheet and data base management applications required.
  • Data entry experience and knowledge of Medicare, Medicaid, and third-party insurance preferred.

$100 EMPLOYEE REFERRAL BONUS

BONUSES

  • All bonuses subject to tax withholding and eligibility requirements.

ABOUT PMS

  • Founded in 1969, PMS is a non-profit organization with over 1,300 employees providing services at 100+ locations in New Mexico.
  • Our diverse services include primary care, dental, behavioral health, early childhood education, supportive living, and senior programs.
  • We concentrate our resources on meeting the needs of underserved areas of New Mexico.
  • We operate the largest network of federally qualified health centers in the state.
  • PMS is not affiliated with Presbyterian Healthcare Services, Presbyterian Hospitals or Presbyterian Health Plan.

WHY PMS?

  • Mission-driven organization
  • Competitive salaries
  • Nine paid holidays and generous PTO
  • Medical, dental & vision insurance  
  • Free Life & LTD coverage
  • Free discretionary pension plan contribution
  • Employee recognition and engagement activities
  • Robust training program
  • Tuition Reimbursement

EOE/AA/M/F/SO/Vet/Disability  

Skills Required

  • High school diploma or equivalent
  • One year of cash posting or billing experience, or a combination of education and business-related experience totaling at least one year
  • Knowledge of automated business applications, including word processing, spreadsheet, and database management applications
  • Data entry experience
  • Knowledge of Medicare, Medicaid, and third-party insurance
  • Healthcare-related experience
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The Company
HQ: Santa Fe, NM
3,000 Employees
Year Founded: 1969

What We Do

Presbyterian Medical Services (PMS) is a nonprofit corporation dedicated to strengthening communities in New Mexico by providing accessible, advanced, and affordable health, education, and social services, particularly to underserved populations.

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