Accounts Receivable Rep - 3rd Party - Government

MobilexUSA; Upper Arlington (OH); On-site; USD 26,000 - 29,000; Full time

Job summary

MobilexUSA in Upper Arlington, OH is seeking a detail-oriented Claims Processor to prepare, edit and submit claims accurately per payer guidelines. The role requires strong data entry, problem solving and customer service skills.

You will access payer portals, respond to inquiries about claim status, and follow up to resolve payments. A high-speed internet connection and dedicated workspace are required.

Qualifications

• High School diploma required; claims processing experience preferred.
• Able to access payer portals and verify information.
• Respond to inquiries regarding claim/account status in a timely manner.
• Identify and resolve claim/payment issues as they occur.
• Must have high-speed internet at home and dedicated work space.

Responsibilities

• Prepare, edit and submit claims accurately and timely per payer guidelines.
• Access client files and payer websites to verify information.
• Respond to written inquiries regarding claim/account status.
• Manage claim assignments and follow up for cash resolution.
• Notify supervisor of compliance or payer trend issues impacting timely submissions.

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 Diploma

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: $19-21 per hour

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/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.