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Medical Claims Specialist- Remote Eligible
Job ID #: 12295 City, State: NM - Albuquerque
Functional Area: Rhodes Group Department Name: Business Office
Position Type: Regular - Full Time Education Required: See Minimum Qualifications
Experience Required: See Minimum Qualifications Relocation Provided: No

Responsible for collecting accounts receivables on patient accounts, non-government and contracted insurances government payers and secondary billing.
Responsibilities include routine follow-up on accounts, working the Rejection Report for contracted insurances, analyzing aged trial balance report for assigned chargeto’s, working the Antrim, Rhodes reports and miscellaneous accounts receivable reports.

 High school diploma or equivalent

Must have one of the following:
 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
 Minimum of three (3) years of medical billing or claims processing experience

 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

Basic knowledge of Excel and Word
Knowledge of medical terminology

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

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