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

TridentCare; Columbus (OH); Remote; USD 25,000 - 29,000; Full time

Benefits offered by this job

Two weeks vacation (accrued)

Health Insurance after 30 days

Sick time

6 paid holidays (2 floating)

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 to ensure timely reimbursement.

The role emphasizes accurate documentation, refund processing, and responsive inquiries handling, with the option to work remotely given a strong internet connection and wired setup. Full-time employment with a comprehensive benefits package is offered.

Qualifications

• Ability to work independently.
• Must have high-speed internet and be able to hard wire into router for remote work.

Responsibilities

• Prepare, edit and submit account billing in accordance with payer guidelines.
• Verify patient’s insurance eligibility.
• Submit documentation with claims and rebill when needed.
• Investigate and process refunds; resolve account discrepancies and prepare adjustments.
• Maintain accurate records of billing activity and generate required reports.
• Respond to insurance inquiries and follow up as per policy timelines.
• Work remotely with stable internet connection as required.

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.

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)