Accounts Receivable Rep - 3rd Party - Government

TridentCare•,

1d•Remote

About The Position

This role involves preparing, editing, and submitting claims accurately and timely according to payer contracts and guidelines. The Accounts Receivable Representative will access client files and payer websites to verify information, respond to written inquiries regarding claim/account status, and manage claim assignments through work queues and lists to ensure proper follow-up for cash resolution. This position requires daily contact with insurance carriers via phone or website to determine the reason for payment delays or underpayments, and the ability to identify and resolve claim or payer issues as they arise. The representative must also meet daily, weekly, and monthly productivity and quality goals and perform other assigned tasks to support organizational objectives. A dedicated workspace and high-speed internet are required for remote work.

Requirements

High speed internet at home
Dedicated work space

Responsibilities

Prepare, edit, and ensure all claims are submitted accurately and timely per payer contract and guidelines.
Access client files and payer websites 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 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 daily for claim status and patient information either by phone or website; determine reason for lack of payment or underpayment.
Complete all assignments according to schedule.
Achieve and consistently maintain daily, weekly, and monthly productivity and quality goals.
Identify and resolve claim and/or payer issues as they occur.
Perform other tasks as assigned to support the goals of the organization.