Accounts Receivable Rep - 3rd Party - Government

MobilexUSA; Horsham (PA); Remote; USD 22,000 - 26,000; Full time

Job summary

MobilexUSA is seeking a dedicated claims processor to prepare, edit, and submit claims with accuracy and timeliness according to payer contracts. You will access client files and payer sites to verify information and respond promptly to inquiries about claim status.

You will manage claim queues, follow up for cash resolution, and communicate daily with insurance carriers to resolve payment issues. A home workspace with high-speed internet is required.

Qualifications

• High School diploma required.
• Typing speed of 35 wpm or faster preferred.
• Prior experience with claims processing is preferred.

Responsibilities

• Prepare, edit and ensure all claims are submitted accurately and timely per payer contract and guidelines.
• Access client files and payer websites to verify information.
• Provide timely responses to written inquiries regarding claim/account status.
• Manage claim assignments and ensure follow up for cash resolution; escalate compliance or payer trends as needed.
• Contact insurance carriers daily for claim status and patient information; determine reasons for underpayment or non-payment.
• Complete all assignments according to schedule.
• Maintain daily, weekly and monthly productivity and quality goals.
• Identify/resolve claim or payer issues as they occur.
• Perform other tasks to support organizational goals.
• Require high speed internet at home and dedicated workspace.

Skills

Identify/Resolve Problems

Typing 35 wpm

Time Management

Microsoft Office

English written/verbal

Customer Service

Computer Skills

Communication Skills

Claims Processing

Education

High School (required)

Job description

Description

• 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.

#MBX

Pay Rate: $16-19 per hour

Qualifications

Behaviors

• Thought Provoking - Capable of making others think deeply on a subject
• Team Player - Works well as a member of a group
• Enthusiastic - Shows intense and eager enjoyment and interest
• Detail Oriented - Capable of carrying out a given task with all details necessary to get the task done well
• Dedicated - Devoted to a task or purpose with loyalty or integrity

Motivations

• Work-Life Balance - Inspired to perform well by having ample time to pursue work and interests outside of work
• Ability to Make an Impact - Inspired to perform well by the ability to contribute to the success of a project or the organization
• Self-Starter - Inspired to perform without outside help
• Goal Completion - Inspired to perform well by the completion of tasks
• Flexibility - Inspired to perform well when granted the ability to set your own schedule and goals

Education

• High School (required)

Skills

• Identify/Resolve Problems (preferred)
• Typing Skills Min 35 wpm (preferred)
• Time Management (preferred)
• Microsoft Office (preferred)
• English written/verbal (preferred)
• Customer Service (preferred)
• Computer Skills (preferred)
• Communication Skills (preferred)
• Claims Processing (preferred)

Equal Opportunity Employer

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws.

For further information, please review the Know Your Rights notice from the Department of Labor.