Accounts Receivable Specialist - Claims

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.

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