Government Revenue Cycle AR Specialist – Claims & Payments

TridentCare; Horsham (PA); On-site; USD 26,000 - 29,000; Full time

Job summary

TridentCare is seeking a Government Revenue Cycle Accounts Receivable professional to support claims submission and payer interactions in Horsham, PA. You will prepare and submit claims, access payer portals, and respond to inquiries to ensure timely resolutions.

You will manage claim assignments, monitor queues, and communicate issues to supervision to reduce delays. Daily carrier contact and adherence to production metrics are required, with reliable home internet and workspace essential.

Qualifications

• Proven ability to manage time effectively and meet productivity goals.
• Proficiency with Microsoft Office and general computer skills.
• Strong customer service mindset and external communications.
• Experience handling claims processing workflows and payer portals.

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 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 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.

Skills

Time Management

Microsoft Office

Advanced

Customer Service

Computer Skills

Claims Processing

Typing

Communication

Education

High School or equivalent

Job description

TridentCare is seeking a Government Revenue Cycle Accounts Receivable professional to support claims submission and payer interactions in Horsham, PA. You will prepare and submit claims, access payer portals, and respond to inquiries to ensure timely resolutions.

You will manage claim assignments, monitor queues, and communicate issues to supervision to reduce delays. Daily carrier contact and adherence to production metrics are required, with reliable home internet and workspace essential.