Presbyterian Healthcare Services · 21 hours ago
Patient Accounting Denials Specialist I-ABQ
United States
Full-time
Remote
Entry Level
$15.87/hr - $23.04/hr
2+ years expPresbyterian Healthcare Services is a not-for-profit healthcare system focused on improving the health of communities in New Mexico. They are seeking a Patient Accounting Denials Specialist I to perform root cause analysis and resolution of denials, including A/R follow-up, appeals, and customer service tasks.
AssociationHealth Care
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
Maintains strictest confidentiality, adheres to all HIPAA and CMS compliance rules and regulations
Perform other duties as assigned by the Denial Supervisor and/or Manager
Qualification
Required
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
Computer literate
Passionate about being part of an organization focused on continuously improving patient experiences and the health of our community
Excellent organizational, problem-solving, verbal, and written communication skills
Attention to detail
Ability to interact effectively with other functional areas and management teams
Strong work ethic
Demonstrated ability to work effectively in a team environment
Ability to prioritize and manage a high-volume workload
Ability to work in a fast-paced environment and contend with continually changing payer regulations and requirements
Preferred
Experience with Microsoft Office Suite products
Benefits
Medical
Dental
Vision
Short-term and long-term disability
Group term life insurance
Other optional voluntary benefits
Wellness activities like wellness challenges, webinar, preventive screening and more
Company
Presbyterian Healthcare Services
Presbyterian Healthcare Services exists to improve the health of patients, members and the communities they serve.
10001+ employees
H1B Sponsorship
Presbyterian Healthcare Services has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
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Trends of Total Sponsorships
2025 (90)
2024 (86)
2023 (85)
2022 (93)
2021 (86)
2020 (76)
Funding
Current Stage
Late StageLeadership Team
Dale Maxwell
President and CEO
Ernest Sanchez
Chief Technology Officer
Recent News
News-Medical.Net
2025-10-16
Seattle TechFlash
2025-08-25
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