Government Revenue Cycle Accounts Receivable

MobilexUSA; Clearwater (FL); On-site; USD 26,174 - 28,929; Full time

Job summary

MobilexUSA in the United States seeks a Claims Processor to handle submission and follow-up of medical claims. You will verify information, communicate with payers, and maintain productive workflows to meet daily and monthly goals. Strong typing, Microsoft Office, and customer service skills are required; a high school diploma is mandatory.

Responsibilities include timely submission, data verification, and proactive follow-up with payers to resolve accounts efficiently.

Qualifications

• High School diploma required.
• Experience with claims processing preferred.
• Strong typing (35 wpm) and MS Office skills.

Responsibilities

• 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 written correspondence inquiries regarding claim/account status.
• Manage claim assignments and follow up for cash resolution; inform supervisor of issues.
• Contact insurance carriers daily for claim status and patient information; determine reasons for underpayment.

Skills

Identify/Resolve Problems

Typing Skills

Communication Skills

Time Management

Microsoft Office

English written/verbal

Customer Service

Computer Skills

Claims Processing

Education

High School (required)

Job description

Responsibilities

• 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.

Pay Rate

$19-21 per hour

Qualifications

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)
• Communication Skills (preferred)
• Time Management (required)
• Microsoft Office (required)
• English written/verbal (required)
• Customer Service (required)
• Computer Skills (required)
• Claims Processing (required)

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.