Remote TPL Representative - Claims & Reimbursement Expert

Elevate Patient Financial Solutions®; United States; Remote; USD 25.000 - 33.000; Vollzeit

Benefits dieser Stelle

Medical, Dental & Vision Insurance

401K (matching)

15 days PTO

7 paid Holidays

2 Floating holidays

Elevate Day

Pet Insurance

Employee referral bonus

Teamwork culture

Career Growth

Zusammenfassung

Elevate Patient Financial Solutions is seeking detail-oriented professionals to join our team as a Third Party Liability (TPL) Representative. This full-time opportunity offers a consistent schedule of Monday-Friday 8AM-5PM (remote).

TPL Representatives resolve TPL claims for patients and hospitals, requiring strong knowledge of third-party adjudication and state laws. Remote options and comprehensive benefits are provided.

Qualifikationen

• High School Diploma or GED is preferred.
• 1-2 years working knowledge of computer functions including the internet and software such as Microsoft Office Suite.
• 1-3 years of related experience in the field or in a related area.
• Ability to communicate effectively verbally and in writing.
• Thorough knowledge of the third-party claims adjudication process.
• Thorough knowledge of state lien statutes, CMS secondary payer rules, and state No-Fault laws.
• Remote and Hybrid positions require a home internet connection that meets speed criteria.

Aufgaben

• Resolve accounts quickly and accurately to obtain maximum reimbursement.
• Review and research accident claims to investigate leads.
• Bill no-fault and third-party liability carriers when appropriate.
• Request documentation from insurance representatives when no no-fault insurance exists.
• Review and research insurance claims to determine payment sources.
• Coordinate with payors to ensure proper filing guidelines are met.

Kenntnisse

Verbal and written communication

No-Fault laws knowledge

Third-party claims adjudication

Microsoft Office Suite

Ausbildung

High School Diploma or GED

Tools

Microsoft Office Suite

Jobbeschreibung

Elevate Patient Financial Solutions is seeking detail-oriented professionals to join our team as a Third Party Liability (TPL) Representative. This full-time opportunity offers a consistent schedule of Monday-Friday 8AM-5PM (remote).

TPL Representatives resolve TPL claims for patients and hospitals, requiring strong knowledge of third-party adjudication and state laws. Remote options and comprehensive benefits are provided.