PFS Self-Pay Collections Specialist I

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.

• 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

• 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.

We offer more than the standard benefits!

Presbyterian employees gain access to a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more!

Learn more about our employee benefits:

https://www.phs.org/careers/why-work-with-us/benefits

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. For our employees, we offer a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more.

Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than 875,000 New Mexicans.

About Presbyterian Healthcare Services

Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. 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 - including more than 1,600 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.

About Our Regional Delivery System

Presbyterian's Regional Delivery System is a network of six hospitals and medical centers throughout rural New Mexico including locations in Clovis, Espanola, Ruidoso, Santa Fe, Socorro and Tucumcari. Our regional facilities are home to more than 1,600 clinical and non-clinical employees who help make Presbyterian the state's largest private employer with nearly 14,000 statewide employees. With a variety of services ranging from general surgery to pediatrics to heart and cancer care, our regional employees are proud to provide close-to-home care for their communities.

We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.

About New Mexico

New Mexico continues to grow steadily in population and features a low cost-of living.

Varied landscapes bring filmmakers here from around the world to capture a slice of the natural beauty New Mexicans enjoy every day. Our landscapes are as diverse as our culture - from mountains, forests, canyons, and lakes, to caverns, hot springs and sand dunes.

New Mexico offers endless recreational opportunities to explore and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.