Accounts Receivable Rep- 3rd Party Non-Gov't payers

The Commercial Accounts Receivable Representative is responsible for preparing and submitting claims for accounts to ensure timely reimbursement, investigating and processing refunds when warranted

• Prepare, edit and submit account billing in accordance with payer guidelines.  Ensure all claims issues are resolved and submitted accurately and timely per insurance guidelines.
• Verify patient’s insurance eligibility.
• Submit system payer/fee schedule changes when required to supervisor.
• Submit all required documentation with claim. Updates patient demographics changes and performs required rebilling. Requests necessary documentation when missing from client, physician or patient as appropriate.
• Access client files if necessary to verify information.
• Respond to verbal and written insurance or responsible party inquiries regarding account status within policy and procedure timeline.  Research accounts and document follow up appropriately.
• Resolve account discrepancies and prepare adjustments and refunds for approvals as necessary.
• Maintain accurate and complete records concerning billing activity on all accounts.  Document in the system records.
• Address problems as they occur.  Keep supervisor advised of area or compliance issues which may lead to untimely or inaccurate completion of invoice or claim submission.
• Complete all reports according to schedule.
• Perform other tasks as assigned to support the goals of the organization.
• To be able to work independently.
• To work remote, you must have high speed internet, required to hard wire into your router, and be able to pass speed test of at least 20 megabit (Mbit) provided from your internet carrier. Most cable TV providers will offer at least this speed.  

Pay Rate: $18-21 per hour

Benefits: 

                TridentCare offers a competitive wage and robust benefit package to full time employees. 

 Benefits include:

• Two weeks of vacation time (accrued)
• Health Insurance after 30 days!
• Sick time
• 6 paid holidays, currently 2 floating holidays
• Medical insurance allowance, giving you the freedom to customize your plan to fit your needs
• Dental insurance
• Vision insurance
• Disability insurance
• Company paid life insurance
• 401(k)

Qualifications Skills Required Microsoft Office Some Knowledge Typing Skills Min 35 wpm Intermediate Claims Processing Some Knowledge Preferred Medical Terminology Some Knowledge Computer Skills Advanced Time Management Intermediate Identify/Resolve Problems Intermediate Analysis Intermediate Behaviors Required Enthusiastic: Shows intense and eager enjoyment and interest Team Player: Works well as a member of a group Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well Preferred Thought Provoking: Capable of making others think deeply on a subject Education Required High School or better. Experience Required Medical Billing Experience Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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