Patient Accounting Denials Specialist I

Presbyterian Healthcare Services

Patient Accounting Denials Specialist resolving insurance claim denials for Presbyterian Healthcare Services, a New Mexico nonprofit health system. Managing appeals, corrected claims, payer follow-up, and account reconciliation remotely.

Posted 8/4/2026full-timeRemote • New Mexico • 🇺🇸 United StatesJuniorMid-Level💰 $17 - $27 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Proficient in insurance follow-up, billing, and collections with a strong focus on claims processing and denial management. Demonstrates effective communication skills and the ability to adapt to changing payer regulations while maintaining professional relationships.

Highest-signal resume keywords

Insurance Follow-UpClaims ProcessingDenial ManagementElectronic Health RecordsCustomer Service

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims SubmissionAccounts Receivable ManagementRoot Cause AnalysisReconsiderationsAppeals ProcessingMedical Records ManagementBillingCollectionsWork Queue ManagementDaily Reconciliation

Soft Skills

Effective CommunicationTeam CollaborationAdaptabilityStrong Work EthicPrioritization

Tools & Technologies

FISS/DDEPayer PortalsClaims ClearinghousesMicrosoft Office SuiteElectronic Health Records

Industry Keywords

Insurance CollectionsPatient ExperienceCommunity HealthPHS Policies and Procedures

About the role

Key responsibilities & impact

Perform denial follow-up activities for assigned payors using work queues
Submit corrected claims, reconsiderations, and appeals to overturn denials
Provide medical records, itemized statements, and other information requested by insurance companies
Conduct root cause analysis and determine next-step resolution of denials
Perform accounts receivable follow-up, appeals, customer service, correspondence processing, and daily reconciliation
Document accounts according to established PHS policies and procedures
Participate in team meetings and communicate work-related ideas and concerns
Develop and maintain professional relationships with team members, PHS departments, and outside agencies

Requirements

What you’ll need

High school degree or GED required
Short-term training on insurance collections and claims processing
Minimum two years of experience in insurance follow-up, billing, and collections
Demonstrated ability to communicate effectively by telephone and in writing
Computer literacy
Knowledge of electronic health records, claims clearinghouses, FISS/DDE, payer portals, and Microsoft Office Suite
Strong work ethic and ability to work effectively in a team environment
Ability to prioritize and manage a high-volume workload
Ability to work in a fast-paced environment
Ability to adapt to changing payer regulations and requirements
Commitment to improving patient experiences and community health

Benefits

Comp & perks

Medical, dental, and vision benefits
Short-term and long-term disability insurance
Group term life insurance
Optional voluntary benefits
Employee Wellness rewards program
Gift cards and other wellness rewards
Wellness challenges, webinars, and preventive screenings