Accounts Receivable Rep- 3rd Party Commercial

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.
? At this time this position will work remote from home due to COVID-19 however this position may return to the business office.
? To work remote need high speed internet and be able to pass speed test.

#MBX

Pay Rate: $16-19 per hour

Benefits:

TridentCare offers a competitive wage and robust benefit package to full time employees. Part time employees are eligible for many of the same below, pro-rated. Benefits include:
? Two weeks of vacation time
? Health Insurance after 30 days!
? Sick time
? 8 paid holidays
? Same day pay available
? 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)

Experience
Required
? 2 year(s): Medical Billing Experience

Education
Required
? High School or better

Skills
Required
? Computer Skills
? Medical Terminology
? Microsoft Office
? Typing Skills Min 35 wpm
? Claims Processing

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

Motivations
Required
? Self-Starter: Inspired to perform without outside help

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor?s legal duty to furnish information. 41 CFR 60-1.35(c)