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Billing Specialist

TriCore Reference Laboratories
Journal Center, Albuquerque, NM
On-site

About this role

About the Role The Billing Specialist performs billing research to ensure requisitions are ready to bill, determines appropriate billing codes, and enters data into the billing system. This role requires initiative to troubleshoot billing issues across TRL locations and communicate effectively with internal teams and clients. What You'll Do

  • Perform billing research and problem solving using internal systems and internet resources to locate missing requisitions, verify insurance/diagnosis information, resolve discrepancies, and respond to status inquiries.
  • Determine whether an Advance Beneficiary Notice (ABN) and/or Uninsured Patient Letter is required.
  • Enter billing information into billing and related business office applications (scrubbers) for edits as appropriate (Rhodes Fusion Scrubber, Antrim, Fast Orders, etc.).
  • Meet QA and production goals; monitor, log, and report missing or inaccurate information to the supervisor/lead for resolution.
  • Prepare billing reports and perform data analysis as requested.
  • Communicate professionally with internal/external customers; maintain patient and client confidentiality.
  • Perform general clerical duties; maintain records and destruction of documents as needed.
  • Follow TriCore safety, personnel, and billing department policies; participate in training as directed. What We're Looking For
  • High school diploma or equivalent.
  • Minimum of one of the following: 1 year as Medical Data Entry Specialist in the TriCore Business Office; or 1 year laboratory/medical billing experience; or 2 years in a healthcare medical office in a registration/clerical role.
  • Intermediate knowledge of medical terminology, third-party billing requirements, ICD-10 and CPT coding.
  • Intermediate PC/data entry skills (Internet Explorer and Microsoft Office).
  • Ability to type at least 30 WPM (or 9,000 keystrokes per hour); typing test may be required.
  • Strong problem-solving, analytical, and communication skills; ability to maintain confidentiality. Nice to Have
  • Experience with billing scrubbers/tools (e.g., Rhodes Fusion Scrubber, Antrim, Fast Orders) is a plus.
  • Prior experience across multiple TRL locations or shift coverage. Compensation & Benefits
  • Hourly pay; comprehensive benefits including medical, dental, vision, and life insurance; 401(k) with employer matching; PTO; paid holidays.
  • Opportunities for continuous learning, education assistance, wellness programs, career advancement, and the chance to contribute to patient care.
  • Shifts available at multiple locations.

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