Presbyterian Healthcare Services

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AMBULANCE REVENUE CYCLE SPECIALIST 1 - PATIENT ACCOUNTING / AMBULANCE

at Presbyterian Healthcare Services

Posted: 2/14/2019
Job Status: Full Time
Job Reference #: 19452

Job Description

About Us

Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of eight hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees.

 

Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.

 

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.

 

Job Description 

Type of Opportunity: Full Time

FTE: 1.000000

Exempt: No

Work Schedule: Days

Location: Rev Hugh Cooper Admin Center

 

 

Education:
High School Diploma or GED

 

 

 

Other information:
High School education (G.E.D.) with a minimum of two (2) years experience in admissions, medical claims processing, insurance billing, claims follow-up, or collections preferred. Six-months to one-year experience in a computerized accounts receivable system preferred. Short-term training in business office process and procedures preferred. PC experience with Microsoft Office Word and Excel. Excellent organizational, problem solving, verbal, written communication, and ability to interact with other functional areas required. Demonstrated ability towork effectively in a team environment. Must be able to prioritize and manage a high volume workload. Knowledge of ICD9/ICD10 and HCPCS

 

Competencies and skills:
Nonessential:
* SKILL-Ability to effectively interact with customers to understand their needs and explain data
* ICD 9 OR 10
* SKILL-Microsoft Office
* Organizational Skills
* Demonstration of high degree of independent problem solving and critical thinking skills.
* SKILL-Demonstrate ability to work effectively in a team environment
* SKILL-Demonstrated ability to communicate effectively in person and via telephone with members, employer groups, brokers, physicians, and physician office staff using strong dialogue and customer service competencies.
* SKILL-Written communication

 

Summary:
Follows-up, collects, and resolves all outstanding accounts receivable. Performs a variety of duties including accounts receivable follow-up, customer service, correspondence response, and daily reconciliation of activities; Meets established guidelines to ensure timely and accurate reimbursement for all billed charges. Analyzes and Validates accuracy of all accounts with credit balances to determine whether payments and allowances posted are accurate according to contractual agreements and determines if a refund, adjustment, or appeal is required to resolve/close the account; Adheres to compliance and regulatory rules and regulations as mandated by CMS including researching and resolving outstanding or unbilled claims. Communicates information received from the Fiscal Intermediary, Carrier, and all other insurers regarding policies and procedures as they apply to claims billing and adjudication. Meets time guidelines to ensure timely and accurate reimbursement for all billed charges. As an expert in the ambulance revenue cycle field, actively participates in the training and education of peers and those outside the department

 

 

 

Benefits

Benefits are effective day-one (for .45 FTE and above) and include:

  • Competitive salaries<\>

  • Full medical, dental and vision insurance<\>

  • Flexible spending accounts (FSAs)<\>

  • Free wellness programs<\>

  • Paid time off (PTO)<\>

  • Retirement plans, including matching employer contributions<\>

  • Continuing education and career development opportunities<\>

  • Life insurance and short/long term disability programs<\><\>

     

    About New Mexico

    New Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich life>Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great.

     

    Cities in New Mexico are continually ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC.

     

    New Mexico offers endless recreational opportunities to explore, and enjoy an active life> 

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

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!