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

TridentCare; Clearwater (FL); On-site; USD 25,000 - 29,000; Full time

Benefits offered by this job

Health Insurance

Two weeks vacation (accrued)

Sick time

6 paid holidays

Medical insurance allowance

Dental insurance

Vision insurance

Disability insurance

Company paid life insurance

401(k)

Job summary

TridentCare is seeking a Commercial Accounts Receivable Representative to prepare and submit claims, verify insurance eligibility, and resolve billing issues. This remote role requires proximity to one of our support locations and adherence to payer guidelines.

The position offers a comprehensive benefits package and a competitive hourly pay rate. The candidate should be able to work independently, manage documentation, and communicate clearly with payers and clients while maintaining accurate

Qualifications

• Experience processing medical claims and billing according to payer guidelines.
• Ability to verify insurance eligibility.
• Strong documentation and data entry skills.
• Comfort working in a remote, deadline-driven environment.

Responsibilities

• Prepare, edit and submit account billing in accordance with payer guidelines.
• Verify patient’s insurance eligibility.
• Submit system payer/fee schedule changes when required to supervisor.
• Submit all required documentation with claim and update demographics as needed.
• Access client files to verify information as needed.
• Respond to inquiries regarding account status within policy timelines.
• Resolve account discrepancies and prepare adjustments/refunds for approvals.
• Maintain accurate records of billing activity and document in the system.
• Address problems as they occur and notify supervisor of issues impacting timely submissions.
• Complete all reports according to schedule.
• Perform other tasks to support organizational goals.
• Ability to work independently and remotely with reliable internet connection.
• Remote work requires high-speed internet, hard-wired connection, and meeting speed test of at least 20 Mbps.

Skills

Accounts receivable

Billing

Insurance claims

Customer service

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)