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PFS Billing Specialist at Presbyterian Healthcare Services - ApplyBlast

PFS Billing Specialist

Presbyterian Healthcare Services

4 months ago

3.6 on Glassdoor

Remote

Full Time

Junior

2 applicants

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About this role

Presbyterian Healthcare Services is hiring a Claims Submission Specialist to ensure timely and compliant submission of insurance claims across government and private payer types. The role involves resolving billing edits, navigating clearinghouse systems, and coordinating care documentation to maintain clean claim processing while adhering to CMS and state regulations.

Responsibilities

Prepare and submit accurate insurance claims for diverse payer types
Resolve billing edits and route accounts for necessary reviews
Document account activity according to strict policy and security standards
Contact claimants and carriers to gather information for submission
Stay current on regulatory changes affecting reimbursement processes

Skills

Qualifications

High School Diploma or GED

About Presbyterian Healthcare Services

phs.org

Headquarters

Albuquerque, New Mexico, United States

Company Size

10001+ employees

Founded

1908

View Profile

Find the medical care and health plan you and your family need at Presbyterian Healthcare Services, an integrated system of hospitals, healthcare providers and insurance plans serving patients and members in New Mexico.