Claims Specialist – Journal Center

Role Overview

• Responsible for collecting accounts receivables on patient accounts, non-government and contracted insurances government payers and secondary billing
• Collects outstanding accounts receivables on patient accounts from patient, commercial, non-government, contracted insurances or government payors
• Pursues collection activities on assigned accounts from primary and secondary payors until worked to resolution
• Works account receivables reports focusing attention on accounts over 60 days
• Researches adjustments and pull all necessary backup to support adjustments
• Utilizes on-line insurance resources to obtain and maintain current information
• Develops and maintains a professional working rapport with internal and external customers
• Identifies trends in payment or non-payment of claims

Requirements

• High school diploma or equivalent
• Six (6) months as an Apprentice in the Business Office at TriCore
• Minimum of one (1) year of laboratory or medical claims follow-up/collections experience
• Minimum of three (3) years of medical billing or claims processing experience
• Basic knowledge of Excel and Word
• Knowledge of medical terminology

Benefits

• Must be able to type 30 words per minute (typing test required)
• Must have basic PC knowledge and working expertise with keyboard, mouse, Internet, and Windows based applications