Accounts Receivable Specialist - Claims & Cash Resolution

TridentCare; Clearwater (FL); Remote; USD 38,000 - 52,000; Full time

Job summary

TridentCare in the United States is seeking a claims specialist to prepare, edit, and submit claims accurately and timely, while verifying information through client files and payer portals.

You will respond to inquiries about claim status, manage work queues, follow up for cash resolution, and contact insurance carriers daily. A reliable home office with fast internet is expected.

This position is based remotely in Florida with a dedicated home workspace.

Qualifications

• Experience with submitting and tracking medical claims per contracts.
• Ability to verify information using client files and payer sites.
• Respond quickly to written inquiries about claim status.
• Ability to meet daily/weekly/monthly productivity targets.

Responsibilities

• Prepare, edit and ensure all claims are submitted accurately and timely.
• Access client files and payer websites to verify information.
• Provide timely responses to inquiries regarding claim/account status.
• Manage claim assignments using work queues; follow up for cash resolution.
• Contact insurance carriers daily for claim status and patient information.
• Complete assignments according to schedule.
• Identify and resolve claim or payer issues.
• Perform other tasks to support organization goals.
• Require high-speed internet at home and dedicated workspace.

Skills

Claims processing

Payer communications

Attention to detail

Productivity targets

Tools

Payer portals

Claims software

Job description

TridentCare in the United States is seeking a claims specialist to prepare, edit, and submit claims accurately and timely, while verifying information through client files and payer portals.

You will respond to inquiries about claim status, manage work queues, follow up for cash resolution, and contact insurance carriers daily. A reliable home office with fast internet is expected.

This position is based remotely in Florida with a dedicated home workspace.