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

Job Description

Job Description

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.  

Work Environment: This is a remote position but candidate should be located within 50 miles of one of these locations for technical support.

Sparks/Hunt Valley, MD

Carrollton, TX

Horsham, PA

Columbus, OH

Clearwater, FL

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)