[Remote] Accounts Receivable Rep - 3rd Party - Government

Note: The job is a remote job and is open to candidates in USA. TridentCare is a company focused on providing healthcare services, and they are seeking an Accounts Receivable Representative to manage claims and ensure timely submission. The role involves verifying information, responding to inquiries, and maintaining productivity and quality standards in claims processing.

Responsibilities

• Prepare, edit and ensure all claims are submitted accurately and timely per payer contract and guidelines
• Access client files and payer websites if necessary to verify information
• Provide timely responses to all written correspondence inquiries regarding claim/account status
• Manage claim assignments, via work queues and/or work lists and ensure proper follow up is performed on the accounts for cash resolution. Keep supervisor advised of any compliance, system(s), and/or payer trend issues which may lead to untimely or inaccurate completion of claim submission/resolution
• Contact insurance carriers on a daily basis for claim status and patient information either by phone or website; determine reason for the lack of payment or underpayment
• Complete all assignments according to schedule
• Achieve and consistently maintain daily, weekly and monthly productivity and quality goals as determined by departmental needs and standards
• Must have the ability to Identify/resolve claim and or payer issues as they occur
• Perform other tasks as assigned to support the goals of the organization
• Need high speed internet at home and dedicated work space

Skills

• Prepare, edit and ensure all claims are submitted accurately and timely per payer contract and guidelines
• Access client files and payer websites if necessary to verify information
• Provide timely responses to all written correspondence inquiries regarding claim/account status
• Manage claim assignments, via work queues and/or work lists and ensure proper follow up is performed on the accounts for cash resolution
• Keep supervisor advised of any compliance, system(s), and/or payer trend issues which may lead to untimely or inaccurate completion of claim submission/resolution
• Contact insurance carriers on a daily basis for claim status and patient information either by phone or website; determine reason for the lack of payment or underpayment
• Complete all assignments according to schedule
• Achieve and consistently maintain daily, weekly and monthly productivity and quality goals as determined by departmental needs and standards
• Must have the ability to Identify/resolve claim and or payer issues as they occur
• Perform other tasks as assigned to support the goals of the organization
• Need high speed internet at home and dedicated work space

Company Overview