PFS Billing Specialist

Presbyterian Healthcare Services

Claims Submission Specialist at Presbyterian responsible for submitting insurance claims and ensuring compliance. Handling electronic and paper claim submissions, resolving billing issues, and collaborating across departments.

Posted 5/21/2026full-timeRemote • New Mexico • 🇺🇸 United StatesMid-LevelSenior💰 $16 - $23 per hourWebsite

About the role

Key responsibilities & impact

Prepare, process, and submit accurate and timely insurance claims for all payer types
Resolve pre-billing edits and route accounts for additional review if needed
Review and clear assigned work queues to meet KPIs
Document account activity per PHS policies and procedures
Contact insurance companies and patients for necessary information
Notify leadership of billing issues with internal departments or vendors
Submit electronic and paper claims with required attachments

Requirements

What you’ll need

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 preferred
General knowledge of revenue cycle processes
Ability to maintain a HIPAA-compliant, confidential home workspace with reliable high-speed internet required

Benefits

Comp & perks

Comprehensive benefits package including medical, dental, and vision
Short-term and long-term disability coverage
Group term life insurance
Optional voluntary benefits
Employee Wellness rewards program
Opportunities for participation in wellness activities

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

ICD-10HCPCSCPTrevenue codesUB-04HCFA-1500 claim formsinsurance claims processingbilling issue resolutionaccount documentationKPI management

Soft Skills

communicationattention to detailproblem-solvingorganizational skillscustomer service

Certifications

High School DiplomaGED