Med Claims & Billing Collections Specialist

X-Ray Associates of New Mexico; Albuquerque (NM); On-site; USD 42,000 - 54,000; Full time

Job summary

X-Ray Associates of New Mexico in Albuquerque, NM, is seeking a Medical Claims/Collections Billing Specialist to manage outstanding accounts, research insurance claim issues, and pursue timely reimbursement from Medicare, Medicaid, and other payers. This position requires strong knowledge of healthcare collections and payer requirements, with emphasis on Medicare and Medicaid.

You will work to reduce aging A/R, review EOBs and payer communications, correct and resubmit denied claims, and

Qualifications

• Experience in medical accounts receivable and healthcare collections.
• Knowledge of Medicare and Medicaid billing, claims processing, and reimbursement procedures.
• Experience following up on unpaid, denied, and underpaid claims is preferred.
• Ability to analyze EOBs/ERAs and payer communications to determine next steps.

Responsibilities

• Manage and work assigned medical collection and A/R queues, prioritizing aging and denied claims.
• Follow-up on Medicare, Medicaid, and commercial claims to identify payment delays and underpayments.
• Review EOBs, ERAs, payer correspondence, and claim status information to determine actions.
• Research denials, eligibility issues, coding issues, and barriers to reimbursement.
• Correct and resubmit claims, contact carriers, submit documentation, and initiate appeals when appropriate.
• Conduct timely insurance collections and A/R follow-up to maximize reimbursement.
• Verify claim status, eligibility, benefits, and outstanding balances using payer portals and internal systems.
• Maintain accurate account documentation and follow-up dates.
• Provide training on Medicare/Medicaid requirements and billing workflows as needed.
• Maintain HIPAA compliance and protect PHI at all times.

Skills

Medical billing

Accounts receivable

Insurance claims processing

Medicare/Medicaid billing

Denials & appeals

Customer service

Education

High School Diploma or equivalent

Tools

Z-Pay application

RIS systems

Billing platforms

Payer portals

Job description

X-Ray Associates of New Mexico in Albuquerque, NM, is seeking a Medical Claims/Collections Billing Specialist to manage outstanding accounts, research insurance claim issues, and pursue timely reimbursement from Medicare, Medicaid, and other payers. This position requires strong knowledge of healthcare collections and payer requirements, with emphasis on Medicare and Medicaid.

You will work to reduce aging A/R, review EOBs and payer communications, correct and resubmit denied claims, and