Medical Claims Specialist
4 weeks ago
Job Summary
As a Medical Claims Specialist at TriCore Reference Laboratories, you will be responsible for collecting accounts receivables on patient accounts from various payors, including commercial, non-government, and contracted insurances. Your duties will include routine follow-up on accounts, working the Rejection Report, analyzing aged trial balance reports, and utilizing online insurance resources to obtain current information.
Key Responsibilities:
- Collect outstanding accounts receivables from patients, commercial, non-government, and contracted insurances or government payors.
- Pursue collection activities on assigned accounts from primary and secondary payors until worked to resolution.
- Work account receivables reports, focusing attention on accounts over 60 days.
- Research adjustments and pull necessary backup to support adjustments.
- Develop and maintain a professional working rapport with internal and external customers.
- Identify trends in payment or non-payment of claims and communicate findings to leadership and co-workers.
Requirements:
- High school diploma or equivalent.
- One of the following: six months as an Apprentice in the Business Office at TriCore, one year of laboratory or medical claims follow-up/collections experience, or three years of medical billing or claims processing experience.
- Basic PC knowledge and working expertise with keyboard, mouse, Internet, and Windows-based applications.
Preferred Qualifications:
- Basic knowledge of Excel and Word.
- Knowledge of medical terminology.
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