Patient Accounting Collections Specialist

Accountabilities:: Manage accounts receivable follow-up for assigned work queues and miscellaneous accounts receivable reports. Contact insurance companies, patients, and employers to investigate and resolve outstanding claims and payment issues. Provide supporting documentation, including medical records and itemized statements, to facilitate claim processing and reimbursement. Maintain timely follow-up processes and document account activities in accordance with established policies and procedures. Identify insurance payer issues, gather supporting information, and report findings to leadership. Consult with team leads on complex claims and refer accounts for adjustments or legal action when appropriate and in line with guidelines. Cross-train across Patient Accounting functions to support collections activities and team flexibility. Use systems and tools such as Epic, FinThrive, FISS/DDE, payer portals, and Microsoft Office to manage daily responsibilities. Participate in team meetings, communicate proactively, and maintain positive working relationships with colleagues and stakeholders. Follow HIPAA requirements and applicable organizational and CMS standards to protect confidential information and ensure compliance. Requirements: High school diploma or GED required. Less than one year of healthcare clerical or customer service experience preferred. Strong organizational, communication, and problem-solving skills, with careful attention to detail. Ability to collaborate effectively across teams and manage a high-volume workload in a fast-paced, changing environment. Proficiency in Microsoft Office and the ability to learn and operate multiple administrative and healthcare billing systems. Basic understanding of medical coding systems, including ICD-10, HCPCS, and CPT. Familiarity with healthcare claim forms, including UB-04 and HCFA 1500, and electronic claim processing formats such as 837/835. Knowledge of payer requirements, coordination of benefits, Medicare Secondary Payer Questionnaire (MSPQ), and healthcare revenue cycle processes is preferred. Commitment to confidentiality, accuracy, and professional customer service. Benefits: Compensation: Hourly pay range of $16.66–$26.70, depending on qualifications and relevant experience. Employment type: Full-time position. Work arrangement: Virtual position associated with an administrative center in Albuquerque, New Mexico. Healthcare coverage: Medical, dental, and vision insurance for eligible employees. Financial protection: Short-term and long-term disability coverage and group term life insurance. Additional coverage: Access to optional voluntary benefits. Wellness program: Employee wellness rewards program offering opportunities to earn gift cards and other rewards through activities such as wellness challenges, webinars, and preventive screenings. Work environment: Opportunity to contribute to healthcare operations that support patients and communities across New Mexico.