Remote Government Revenue Cycle AR Specialist

TridentCare; Texas; Remote; USD 38,000 - 54,000; Full time

Job summary

TridentCare is seeking a claims clerk/ Billing Specialist in Texas to prepare, edit, and submit claims accurately and on time according to payer contracts. You will access client files and payer websites to verify information and respond to inquiries about claim status.

Daily tasks include managing claim assignments, following up on accounts for cash resolution, and communicating with insurance carriers to determine payment issues. A home internet connection and dedicated workspace are required.

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.

Job description

TridentCare is seeking a claims clerk/ Billing Specialist in Texas to prepare, edit, and submit claims accurately and on time according to payer contracts. You will access client files and payer websites to verify information and respond to inquiries about claim status.

Daily tasks include managing claim assignments, following up on accounts for cash resolution, and communicating with insurance carriers to determine payment issues. A home internet connection and dedicated workspace are required.