Claims Specialist I – AR Collections & Reconciliation

TriCore Reference Laboratories; Albuquerque (NM); On-site; USD 25,000 - 30,000; Full time

Job summary

TriCore Reference Laboratories seeks a Claims Specialist I at Journal Center to manage accounts receivable, follow up with payers, and perform reporting duties. You will work Monday-Friday with some shift variations to meet the needs of the department.

The role focuses on collecting on patient accounts and government or commercial payors, leveraging Excel and XIFIN to identify trends and drive resolutions. Strong attention to detail and communication skills are essential.

Qualifications

• High school diploma or equivalent.
• One year or more of medical billing/claims experience preferred.
• Basic knowledge of Excel and Word.
• Knowledge of medical terminology is a plus.

Responsibilities

• Collects outstanding accounts receivable on patient accounts from various payers.
• Pursues collection activities through resubmission, appeals, or reconsideration.
• Works aging reports to focus on accounts over 60 days.
• Researches adjustments and gathers backup documentation.
• Uses online resources to obtain current insurance information.
• Maintains professional relations with internal and external customers, including insurers.
• Creates reports in XIFIN or Excel to prioritize accounts for collection.

Skills

Excel

Word

Medical terminology

Education

High school diploma or equivalent

Tools

XIFIN

Job description

TriCore Reference Laboratories seeks a Claims Specialist I at Journal Center to manage accounts receivable, follow up with payers, and perform reporting duties. You will work Monday-Friday with some shift variations to meet the needs of the department.

The role focuses on collecting on patient accounts and government or commercial payors, leveraging Excel and XIFIN to identify trends and drive resolutions. Strong attention to detail and communication skills are essential.