Presbyterian exists to improve the health of the patients, members and communities we serve. Since 1908.
Patient Accounting Denials Specialist I
Location
New Mexico
Posted
3 days ago
Salary
$15 - $23 / hour
Seniority
Entry Level
No structured requirement data.
Job Description
Patient Accounting Denials Specialist I
Presbyterian Healthcare Services
Title: Patient Accounting Denials Specialist I Location: United States time type Full time Remote job requisition id R-3828 Job Description: Compensation Pay Range: Minimum Offer $15.87 Maximum Offer $23.04 Now Hiring: Patient Accounting Denials Specialist I Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Patient Accounting Denials Specialist I. Responsible for root cause analysis and next step resolution of denials. Performs a variety of duties, including A/R follow-up, appeals, customer service, processing of correspondence, and daily reconciliation of activities. Type of Opportunity: Full time Job Exempt: No Job is based: Remote Workers New Mexico Work Shift: Weekday Schedule Monday-Friday (United States of America) Responsibilities: - Performs denial follow-up activities for assigned payors utilizing work queues. - Submits corrected claims, reconsiderations and/or appeals to overturn denials. - Responsible for providing any information (medical records, itemized statements, etc.) requested by insurance companies to process claims and overturn denials. - Must follow process/procedures to ensure timely follow up on outstanding denials. - Document accounts in accordance with established PHS policies/procedures. - Knowledgeable in various computer systems (i.e. Electronic Health Record, claims clearinghouse, FISS/DDE, Payer portals, Microsoft Office Suite.) - Must utilize communication skills to be an effective team member. - Must actively participate in team meetings and take a proactive approach to communicate work related ideas and concerns. - Must develop and maintain professional work relationships with team members, PHS departments and outside agencies. Qualifications: - High school degree or GED required, short-term training on insurance collections and claims processing. Minimum two years experience in insurance follow-up, billing, and collections. Demonstrated ability to communicate effectively via telephone and in writing and be computer literate. - Must be passionate about being part of an organization focused on continuously improving patient experiences and the health of our community. - Must have a strong work ethic and demonstrated ability to work effectively in a team environment. - Must be able to prioritize and manage a high-volume workload and be able to work in a fast-paced environment and contend with continually changing payer regulations and requirements. 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
Related Guides
Related Categories
Related Job Pages
More Accounting Manager Jobs
• Perform record to report function including journal entries is entered into the company’s accounting ledger accurately. • Report to a supervisor or client’s manager to smooth the month-end, quarter end and year end accounting closed activities. • To collaborate Junior on monthly accounting periods closed activities for a company or few entities. • Perform monthly accounting periods close activities for a company or few entities. • Co-ordinate feedback necessary questions pertaining to the client served. • Guiding and backup Junior as and when needed in the team. • Maintains accounting controls by updating and preparing recommending policies and procedures in DTP. • Preparation and posting various general accounting journal entries. • Adjustments to entries may need to be made to correct errors or adjust the company’s accounts as per approval. • Administer all banking journals recording with daily bank statement updated frequently. • Prepare reconciliations for various general ledger accounts. • Verification and follow-up necessary documentation and creating Fixed assets in client system. • Provides financial information to clients and analyzes accounting data by preparing monthly schedules and reports. • Problem solving by reconciling financial discrepancies and informing clients served.
Insurance Accounting Trainer – Quality Leader
Risk StrategiesRisk Strategies is an insurance company that specializes in brokerage and risk management advising. As an employer, the company has been known to provide its st
• Develop and deliver onboarding training for new hires across Insurance Payables or AR/Direct Bill • Conduct quality reviews of accounting transactional activity • Support system/process changes and provide monthly metrics • Act as a subject matter expert for insurance accounting workflows • Produce training completion reports and collaborate on special projects
Accounting Specialist
ODD SOXOdd Sox is a premier fashion sock brand located in the Tampa Bay area. We are a fun, exciting company looking for talented and ambitious individuals who can add to our amazing team.
Role Description The AR/AP Analyst is responsible for overseeing the accounts receivable and accounts payable processes, ensuring timely and accurate transactions. This role requires a detail-oriented individual with strong analytical skills and an understanding of financial operations. Key Responsibilities: - Monitor and manage incoming payments to ensure that accounts are accurately credited. - Process invoices and issue receipts to customers. - Reconcile AR accounts and maintain accurate records of transactions. Qualifications - Strong knowledge of accounting principles and financial processes. - Proficiency in accounting software (e.g., QuickBooks, SAP, Oracle, or similar). - Excel skills. - Attention to detail and accuracy. - Strong organizational and time management skills. - Ability to handle confidential information and prioritize tasks. - Excellent communication and problem-solving skills. - Ability to work independently and as part of a team. Requirements - High school diploma or equivalent; college degree preferred. - 2-3 years of experience in accounts receivable, accounts payable, or general accounting. - Prolonged periods of sitting at a desk and working on a computer remotely. - Must be able to lift up to 15 pounds at times. Benefits - The salary range for this position is $45,000-50,000 annually, based on experience, skills, and qualifications. Company Description Odd Sox is a premier fashion sock brand located in the Tampa Bay area. We are a fun, exciting company looking for talented and ambitious individuals who can add to our amazing team.
Commissioning Provider III
ENFRA LLCENFRA is proud to be an Equal Opportunity Employer of Minorities, Women, Protected Veterans, and Individuals with Disabilities, and participates in the e-Verify program. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex, age, sexual orientation, gender identity, national origin, veteran status, disability, or any other classification protected by law.
Role Description The Commissioning Provider III provides leadership in all aspects of one or more construction projects and leads the commissioning teams to execute multiple commissioning projects. Provide leadership and oversight to the Commissioning team to ensure that the commissioning scope of work is executed in an efficient and accurate manner. Frequently interacts with the owner, owner’s representatives, contractors, engineers, and architects to fulfill the essential duties and responsibilities of the position. The ideal candidate will possess hands-on experience in MEP Coordination, equipment startup, controls programming, and Test & Balance (TAB) to ensure operational precision. You will be responsible for driving the commissioning process, resolving technical field issues, and validating that all systems meet peak performance and safety standards. Responsibilities - Ability to identify and seek needed information/research skills. - Strong project management and scheduling skills. - Generates and/or reviews checklists and functional performance tests. - Performs Functional performance testing. - Performs site walks, observes equipment startup and generates observation reports and issues log. - Drive corrective actions when scope or performance gaps are identified. - Participate in the execution of commissioning tasks in the field with the commissioning team. - Interact directly with owners and clients to manage expectations. - Meet with clients, architects, engineers, and other design personnel to establish project plans, budgets, and schedules. - Attends and/or Leads Construction and Commissioning coordination meetings. - Act as a liaison between the client and project team members regarding changes or problems. - Schedules and coordinates commissioning activities with multiple parties. - Reviews project documentation providing comments to owner and project teams. - Participates in owner training. - Develops the commissioning plan, and final commissioning report. - Manage multiple commissioning projects, including client interface, team coordination, schedule, and budget management. - Coordinate with clients, external resources, and internal team members to ensure that the client requirements have been accurately documented and communicated to all parties. - Contribute to improving commissioning processes and building on commissioning best practices. - Manage the full construction project lifecycle, from initial project planning phases through the completion of construction. - Manage all incoming project information from clients, internal and external customers; and distribute to Commissioning Team. - Work with the Commissioning Project manager and Director to understand construction project resources and track project progress against established timelines, schedules, and budgets. - Ensure client deliverables meet ENFRA's quality standards at delivery. - Perform and mentor team members on complex commissioning tasks. - Foster a culture of accountability, collaboration, and continuous improvement. - Upholds ENFRA’s owner advocacy philosophy and organizational core values. Qualifications - 8+ years of commissioning or related building construction experience; mechanical, plumbing, automatic temperature control systems, and/or testing adjusting and balancing. - Experience with building construction, especially mechanical, plumbing, automatic temperature control systems, and/or testing adjusting and balancing. - Commissioning Certification from ACG, BCxA, ASHRAE. - Proficient with Microsoft Office Suite (Word, Excel, PowerPoint). - Proficient with Cloud Based Commissioning software Platforms (CxAlloy). - Proficient with Bluebeam software. - Excellent verbal and written communication skills. - Strong scope management and scheduling skills. - Detail-oriented and willing to tackle various ongoing projects in a fast-paced environment. - Ability to work as part of a team and build collaborative relationships. - Able to interact with owner, owner's representatives, contractors, engineers, and architects in a professional manner. - Versed in the industry and company's competitors. - Working knowledge of Commercial Mechanical and Electrical equipment and design. Preferred Education, Experience, and Qualifications - Associates degree or higher preferred. - Registered Engineering Intern (EI) certification or Professional Engineer (PE) Licensure. Travel Requirements - 25-40% of time will be spent traveling to job site(s)/office location. Physical Activities - Ascending and descending ladders, stairs, scaffolding, ramps, poles. - Climbing stairs. - Moving self in different positions to accomplish tasks in various environments including tight and confined spaces. - Repeating motions that may include the wrists, hands and/or fingers. - Operating machinery and/or power tools. Environmental Conditions - Noisy environment. - Outdoor elements such as precipitation and wind. Physical Demands - Medium work that includes adjusting and/or moving objects up to 50 pounds. Pay Range USD $116,860.00 - USD $155,995.00 /Yr. ENFRA is proud to be an Equal Opportunity Employer of Minorities, Women, Protected Veterans, and Individuals with Disabilities, and participates in the e-Verify program. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex, age, sexual orientation, gender identity, national origin, veteran status, disability, or any other classification protected by law.


