Patient Accounting Denials Specialist

Presbyterian Healthcare Services

. Perform root cause analysis and determine next-step resolution of denials .

Posted 11/6/2026full-timeSanta Fe • 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.

Demonstrates expertise in insurance follow-up, billing, and collections, with a strong focus on effective communication and teamwork. Proficient in managing high-volume workloads while adhering to payer regulations and established policies.

Highest-signal resume keywords

Insurance Follow-UpClaims ProcessingElectronic Health Record SystemsCustomer ServicePayer Portals

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims SubmissionDenial ResolutionAccounts Receivable Follow-UpBillingCollectionsRoot Cause AnalysisDocumentationReconsiderationsAppealsWork Queue Management

Soft Skills

Effective CommunicationTeam CollaborationStrong Work EthicPrioritizationAdaptability

Tools & Technologies

Microsoft Office SuiteClaims ClearinghousesFISS/DDEPayer PortalsElectronic Health Record Systems

Industry Keywords

Insurance CollectionsDenial ManagementHigh-Volume WorkloadNew Mexico ResidencyPHS Policies and Procedures

About the role

Key responsibilities & impact

Perform root cause analysis and determine next-step resolution of denials
Perform denial follow-up activities for assigned payors using work queues
Submit corrected claims, reconsiderations, and/or appeals to overturn denials
Provide medical records, itemized statements, and other information requested by insurance companies
Follow processes and procedures for timely follow-up on outstanding denials
Document accounts according to established PHS policies and procedures
Perform accounts receivable follow-up, appeals, customer service, correspondence processing, and daily reconciliation of activities
Participate in team meetings
Communicate work-related ideas and concerns proactively
Develop and maintain professional work 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 experience in insurance follow-up, billing, and collections
Demonstrated ability to communicate effectively via telephone and in writing
Computer literacy
Knowledge of Electronic Health Record systems, claims clearinghouses, FISS/DDE, payer portals, and Microsoft Office Suite
Strong work ethic
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 contend with continually changing payer regulations and requirements
Must be able to work in New Mexico

Benefits

Comp & perks

Medical insurance
Dental insurance
Vision insurance
Short-term disability insurance
Long-term disability insurance
Group term life insurance
Optional voluntary benefits
Employee Wellness rewards program
Gift cards through wellness activities
Wellness challenges
Webinars
Preventive screenings