Presbyterian Healthcare Services
Remote Jobs
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan, and a growing multi-specialty medical group. Founded in New Mexico in 1908. Largest private employer in the state with nearly 14,000 employees, including more than 1600 providers and nearly 4,700 nurses. Health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care), and Commercial health plans.
8 Jobs
Revenue Recovery Specialist I-Patient Accounting-ABQ
Presbyterian Healthcare ServicesPresbyterian exists to improve the health of patients, members, and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan, and a growing multi-specialty medical group. Founded in New Mexico in 1908. Largest private employer in the state with nearly 14,000 employees, including more than 1600 providers and nearly 4,700 nurses. Health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care), and Commercial health plans.
The specialist is primarily responsible for working in the payment variance work queue to identify payer-specific trends and report significant issues to senior staff. They will also validate reports, recommend configuration changes, and serve as a resource for hospital follow-up and denial teams regarding reimbursement questions.
Remote Multispecialty Pro Fee Coder
Presbyterian Healthcare ServicesPresbyterian exists to improve the health of patients, members, and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan, and a growing multi-specialty medical group. Founded in New Mexico in 1908. Largest private employer in the state with nearly 14,000 employees, including more than 1600 providers and nearly 4,700 nurses. Health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care), and Commercial health plans.
Build your Career. Make a Difference. Presbyterian is hiring a skilled Remote Multispecialty Pro Fee Coder to join our team. Supports the Coding and documentation quality assurance (CDQA) team with minimal supervision. Implements and complies with enterprise-wide and department c...
Workday Payroll Analyst
Presbyterian Healthcare ServicesPresbyterian exists to improve the health of patients, members, and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan, and a growing multi-specialty medical group. Founded in New Mexico in 1908. Largest private employer in the state with nearly 14,000 employees, including more than 1600 providers and nearly 4,700 nurses. Health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care), and Commercial health plans.
The Workday Payroll Analyst supports and optimizes payroll functionality within Workday, acting as a primary resource for troubleshooting, configuration, testing, and release management activities. This role coordinates cross-functionally with HR, Finance, and IT teams to ensure accurate, compliant, and stable payroll operations, including supporting healthcare-specific integrations like Epic.
Care Coordinator IV-Albuquerque
Presbyterian Healthcare ServicesPresbyterian exists to improve the health of patients, members, and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan, and a growing multi-specialty medical group. Founded in New Mexico in 1908. Largest private employer in the state with nearly 14,000 employees, including more than 1600 providers and nearly 4,700 nurses. Health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care), and Commercial health plans.
The Care Coordinator facilitates a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions, cost-effective delivery of quality care and services across the continuum. This role involves collaborating with various stakeholders to address care issues, specific member needs, and disease processes across medical, behavioral, social, community, or long-term care services.
Nurse Advice Line/Member Navigation Clin Triage Nurse-ABQ
Presbyterian Healthcare ServicesPresbyterian exists to improve the health of patients, members, and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan, and a growing multi-specialty medical group. Founded in New Mexico in 1908. Largest private employer in the state with nearly 14,000 employees, including more than 1600 providers and nearly 4,700 nurses. Health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care), and Commercial health plans.
The Nurse Advice Line performs clinical triage and review of inbound member and patient calls to ensure services rendered meet clinically appropriate direction and triage, utilizing clinical skills to coordinate, document, and communicate advice based on criteria and protocols. This includes assisting callers with care coordination to in-plan providers and referring callers of various acuities to appropriate venues of care.
Finance Strategy Analyst
Presbyterian Healthcare ServicesPresbyterian exists to improve the health of patients, members, and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan, and a growing multi-specialty medical group. Founded in New Mexico in 1908. Largest private employer in the state with nearly 14,000 employees, including more than 1600 providers and nearly 4,700 nurses. Health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care), and Commercial health plans.
This role involves performing enterprise-wide strategic financial analysis, including forecasting ongoing performance and creating financial models for viability analyses of new services and equipment. Key duties include supporting long-range financial planning, working with stakeholders on NPV development for capital projects, and preparing complex financial presentations for senior leadership.
PFS Billing Specialist I
Presbyterian Healthcare ServicesPresbyterian exists to improve the health of patients, members, and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan, and a growing multi-specialty medical group. Founded in New Mexico in 1908. Largest private employer in the state with nearly 14,000 employees, including more than 1600 providers and nearly 4,700 nurses. Health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care), and Commercial health plans.
This role involves accurately submitting all insurance claims for all payer types, including Government payers, within claims clearinghouse application and patient accounting system. Resolve edits/rejections, ensuring accurate and timely claim submission in alignment with payer's...
Patient Accounting Collections Specialist I-ABQ
Presbyterian Healthcare ServicesPresbyterian exists to improve the health of patients, members, and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan, and a growing multi-specialty medical group. Founded in New Mexico in 1908. Largest private employer in the state with nearly 14,000 employees, including more than 1600 providers and nearly 4,700 nurses. Health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care), and Commercial health plans.
This role involves following up, collecting, and resolving all outstanding accounts receivable. Performs a variety of duties including accounts receivable follow-up, customer service, correspondence response, and daily reconciliation of activities. Performs accounts receivable fo...
