Government Revenue Cycle Accounts Receivable

Trident Care; United States; Remote; USD 26,000 - 29,000; Full time

Job summary

Trident Care is seeking a detail-oriented claims processor in the United States. You will prepare, edit, and submit claims per payer contracts, verify information via client files and payer portals, and respond promptly to claim status inquiries.

You will manage claim assignments, follow up for cash resolution, and contact carriers daily to determine payment issues. A reliable home workspace and high-speed internet are required.

Qualifications

• Prepare, edit and submit claims 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.
• 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.
• Identify/resolve claim and 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.

Responsibilities

• Prepare, edit and submit claims accurately and timely per payer contract and guidelines.
• Access client files and payer websites to verify information.
• Provide timely responses to inquiries regarding claim/account status.
• Manage claim assignments and ensure proper follow up for cash resolution.
• Contact insurance carriers daily for claim status and patient information.
• Complete all assignments according to schedule.
• Achieve and maintain productivity and quality goals.
• Identify/resolve claim and payer issues as they occur.
• Work from home with a dedicated space and reliable internet.

Skills

Claims processing

Payer communications

Documentation & data entry

Attention to detail

Time management

Job description

• 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 accurate 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 claimand or payer issuesas they occur.
• Perform other tasks as assigned to support the goals of the organization.
• Need high speed internet at home and dedicated work space.

#MBX

Pay Rate: $19-21 per hour