New Mexico A/R Specialist

Job Summary

As a full-time remote PFS Government A/R Specialist I, the successful candidate will manage insurance claims submissions for various payer types, research and resolve billing issues, and ensure compliance with regulations while contributing to a team focused on improving patient experiences.

Key responsibilities

• Accurately submit insurance claims for all payer types, including Government payers
• Research, analyze, and resolve payer edits, rejections, and denials
• Manage A/R follow-up, appeals, and customer service inquiries

Required qualifications

• High school degree or GED required, with short-term training in insurance collections and claims processing
• A minimum of one year of experience in insurance follow-up, billing, and collections
• Proficient knowledge of ICD-10, HCPCS, CPT codes, and claim forms
• Experience with patient accounting billing systems or claims clearinghouses, such as Epic or Thrive, is preferred
• Ability to provide a confidential, HIPAA-compliant workspace with a high-speed internet connection