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

Trident Care; Sparks Corner (MD); Remote; USD 25,000 - 29,000; Full time

Benefits offered by this job

Health insurance

Sick time

Floating holidays

Medical allowance

Dental insurance

Vision insurance

Disability insurance

Life insurance

401(k)

Vacation days

Job summary

Trident Care is seeking a Commercial Accounts Receivable Representative to prepare and submit claims, ensuring timely reimbursement and adherence to payer rules.

The role requires verifying insurance eligibility, updating client records, and communicating with payers and clients. This is a remote position within 50 miles of Sparks/Hunt Valley, MD for support, with a pay rate of $18–$21 per hour and a comprehensive benefits package.

Qualifications

• Prepare, edit and submit claims according to payer guidelines.
• Verify patient insurance eligibility and update records.
• Resolve issues and rebill when required with documentation.

Responsibilities

• Submit all required documentation with claims and update demographics.
• Communicate with payers and patients regarding account status.
• Investigate and process refunds when warranted.
• Maintain accurate records of billing activity.
• Respond to inquiries within policy timelines.
• Work independently and remotely with reliable internet.

Skills

Billing & AR

Insurance verification

Remote work

Problem solving

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 20megabit(Mbit) providedfrom your internetcarrier. 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)