TriCore Reference Laboratories · 2 months ago
Billing Research Specialist - Journal Center, (946)
Albuquerque, NM
Full-time
Onsite
Entry Level
1+ years expTriCore Reference Laboratories is New Mexico’s largest laboratory, dedicated to improving the quality of care for communities and employees. The Billing Research Specialist performs billing research functions to ensure requisitions are ready to bill, determines appropriate billing codes, and addresses billing problems effectively.
Health CareMedicalTest and Measurement
Responsibilities
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
Qualification
Required
High school diploma or equivalent
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
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
Medical
Dental
Vision and life insurances
401(k) retirement plan with employer matching
PTO
Paid holidays
Opportunities for continuous learning
Education assistance
Wellness programs
Career advancement
The ability to share in our genuine commitment to the health of our communities
Company
TriCore Reference Laboratories
TriCore Reference Laboratories is a clinical information company that offers laboratory research and testing facility for health management.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Robin Divine
President & CEO
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