Billing Research Specialist-Journal Center, (1456)

TriCore Reference Laboratories; Albuquerque (NM); On-site; USD 24,796 - 34,440; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) retirement plan with employer matching

Paid Time Off (PTO)

Paid holidays

Continuous learning opportunities

Job summary

TriCore Reference Laboratories in Albuquerque is seeking a Billing Research Specialist to perform billing functions and ensure requisitions are ready to bill. This role requires strong problem-solving skills, initiative, and the ability to communicate effectively with clients.

Candidates should have a high school diploma, experience in medical billing, and a solid understanding of medical terminology. We offer competitive benefits, including healthcare and a 401(k) plan.

Qualifications

• One year as a Medical Data Entry Specialist in the TriCore Business Office.
• One year of laboratory or medical billing experience.
• Two years within a healthcare medical office in a registration or clerical position.

Responsibilities

• Perform billing research functions and problem-solving tasks.
• Enter billing information into the billing system.
• Prepare billing reports and perform data analysis.

Skills

Intermediate knowledge of medical terminology

Third-party billing requirements

ICD-10 and CPT coding experience

Intermediate PC/data entry skills

Education

High school diploma or equivalent

Tools

Microsoft Office

Internet Explorer

Job description

Billing Research Specialist-Journal Center, (1456)

Schedule: Monday-Friday 8:00AM- 5:00PM with other shifts as needed

Location: Journal Center

Salary/Hourly: Hourly Position

Job Summary: Performs billing research functions to ensure the requisition is ready to bill. Determines appropriate billing codes needed, billing information for data entry of requisitions, and other billing tasks. High degree of initiative and self-motivation needed to be able to troubleshoot billing problems without assistance on a frequent basis. Monitors, summarizes, and reports deficiencies in requisition information received from TRL offsite locations and ordering physicians/clients.

Essential Functions

• Performs billing research functions and problem solving activities utilizing internal computer systems and Internet sites as appropriate by locating missing requisitions, status inquiries for patient/client accounts, calling on problems, verifies insurance and diagnosis information, and resolving discrepancies.
• Determines validity and necessity of obtaining an Advance Beneficiary Notice (ABN) and Uninsured Patient Letter.
• Enters billing information into billing system and other Business Office applications for scrubber edits (i.e. Rhodes Fusion Scrubber, Antrim, Fast Orders etc.) as appropriate.
• Meets all Quality Assurance (QA) and production goals.
• Tracks, logs and provides feedback to appropriate area on missing or inaccurate information by client and/or offsite location. Documents and communicates to Supervisor/Lead to initiate problem solving.
• Prepare billing reports and perform data analysis of various types, as requested.
• Communicates effectively and professionally to customers (internal and external). Maintains confidentiality of patient and client information.
• Perform general clerical functions. Make photocopies; maintain appropriate records, files, and destruction of documents.
• Responsible for following TriCore safety, personnel, and billing department policies.
• Participate in training as directed by Supervisor/Manager.

Minimum Education

• High school diploma or equivalent.

Minimum Experience

• One (1) year experience as a Medical Data Entry Specialist in the TriCore Business Office.
• Minimum of one (1) year laboratory or medical billing experience.
• Minimum of two (2) years’ experience within a healthcare medical office in a registration or clerical position.

Other Requirements

• Intermediate knowledge and understanding of medical terminology, third party billing requirements, ICD-10 and CPT coding experience.
• Intermediate PC/data entry skills to include Internet Explorer and Microsoft Office applications.
• Must type 30 WPM or 9000 keystrokes per hour (typing test required)

Benefits

We offer excellent benefits including medical, dental, vision and life insurances, 401(k) retirement plan with employer matching, PTO, and paid holidays, as well as opportunities for continuous learning, education assistance, wellness programs, career advancement, and the ability to share in our genuine commitment to the health of our communities. We offer a variety of shifts at multiple locations.