PFS Billing Specialist
Presbyterian Healthcare Services
full-time
Posted on:
Location Type: Remote
Location: New Mexico • United States
Visit company websiteExplore more
Salary
💰 $16 - $23 per hour
About the role
- Prepare, process, and submit accurate and timely insurance claims for all payer types
- Resolve pre‑billing edits and route accounts to appropriate departments when additional review is needed
- Review and clear assigned work queues promptly to meet key performance indicators
- Document all account activity in alignment with PHS policies and procedures
- Contact insurance companies, patients, and employer groups to obtain required information for claim submission
- Notify leadership of billing issues involving internal departments or contracted vendors
- Submit both electronic and paper primary and secondary claims, including required HIPAA‑compliant attachments, medical records, and supporting forms
- Stay current on billing procedure changes that impact claim processing or reimbursement
Requirements
- High School Diploma or GED required
- Less than 1 year of clerical or customer service experience preferred
- Proficiency with Microsoft Office Suite required
- Basic knowledge of ICD‑10, HCPCS, CPT, revenue codes, UB‑04/HCFA‑1500 claim forms, and electronic transactions (837/835) preferred
- Basic understanding of coordination of benefits, Medicare MSPQ, and major payer submission requirements preferred
- Ability to maintain a HIPAA‑compliant, confidential home workspace with reliable high‑speed internet (minimum 25 Mbps download / 10 Mbps upload)
Benefits
- Health insurance
- Dental insurance
- Vision insurance
- Short-term and long-term disability
- Group term life insurance
- Employee Wellness rewards program
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
insurance claims processingICD-10HCPCSCPTrevenue codesUB-04HCFA-1500 claim formselectronic transactionscoordination of benefitsMedicare MSPQ
Soft Skills
customer servicecommunicationproblem-solvingattention to detailtime managementorganizational skillsconfidentialityadaptabilityteam collaborationleadership
Certifications
High School DiplomaGED