Medical Claims/Collections Billing Specialist

X-Ray Associates of New Mexico • Albuquerque, NM

1d

About The Position

The Medical Claims/Collections Billing Specialist reviews, researches, and resolves healthcare insurance claims to support accurate and timely reimbursement. The role focuses on correcting claim issues, submitting claims to insurance carriers, and collecting outstanding account balances. It also involves assisting patients with billing questions and payments, maintaining claim and collection documentation, reporting account progress, and helping train staff on insurance processes and billing workflows when needed.

Requirements

• High school diploma or equivalent.
• At least two years of experience in medical accounts receivable or medical insurance claims processing.
• Strong knowledge of medical insurance billing and claims processing.
• Proficiency with MS Windows, RIS systems, and internal billing platforms (MI system).
• Ability to operate standard office equipment, including a computer, copier, fax, calculator, and shredder.
• Strong attention to detail and accuracy in data entry and claims review.
• Ability to manage multiple tasks simultaneously and meet deadlines.
• Professional communication skills with patients, insurance companies, and coworkers.
• Ability to learn and adapt to multiple software systems.
• Strong written and verbal communication skills.
• Commitment to maintaining HIPAA compliance and protecting PHI.

Responsibilities

• Review collection queues, Explanation of Benefits (EOBs), and correspondence for unpaid or underpaid claims.
• Research claim issues and resolve discrepancies appropriately.
• Interpret EOBs and insurance correspondence to determine required corrections or adjustments.
• Research exception reports and report findings to the Revenue Cycle Manager.
• Update patient and claim information using internal and external systems.
• Resubmit corrected claims through billing systems as needed.
• Maintain accurate documentation, including MR notes, account status codes, and collection activity.
• Provide account updates and collection progress reports as requested.
• Assist patients with billing questions and payment processing.
• Process payments accurately using the Z-Pay application.
• Assist in training staff on insurance processes and billing workflows when needed.

Benefits

• Four weeks of paid time off.
• Seven to eight additional holidays per year.
• Medical insurance.
• Dental insurance.
• Vision insurance.
• Life insurance.
• Long-term disability insurance.
• 401(k) with employer contribution up to 6.625% of annual salary.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED