The Commercial Accounts Receivable Representative is responsible for preparing and submitting claims for accounts to ensure timely reimbursement, investigating and processing refunds when warranted

• • Prepare, edit and submit account billing in accordance with payer guidelines. Ensure all claims issues are resolved and submitted accurately and timely per insurance guidelines.
  • Verify patient’s insurance eligibility.
  • Submit system payer/fee schedule changes when required to supervisor.
  • Submit all required documentation with claim. Updates patient demographics changes and performs required rebilling. Requests necessary documentation when missing from client, physician or patient as appropriate.
  • Access client files if necessary to verify information.
  • Respond to verbal and written insurance or responsible party inquiries regarding account status within policy and procedure timeline. Research accounts and document follow up appropriately.
  • Resolve account discrepancies and prepare adjustments and refunds for approvals as necessary.
  • Maintain accurate and complete records concerning billing activity on all accounts. Document in the system records.
  • Address problems as they occur. Keep supervisor advised of area or compliance issues which may lead to untimely or inaccurate completion of invoice or claim submission.
  • Complete all reports according to schedule.
  • Perform other tasks as assigned to support the goals of the organization.
  • To be able to work independently.
  • To work remote, you must have high speed internet, required to hard wire into your router, and be able to pass speed test of at least 20 megabit (Mbit) provided from your internet carrier. Most cable TV providers will offer at least this speed.

Work Environment: This is a remote position but candidate should be located within 50 miles of one of these locations for technical support.

Sparks/Hunt Valley, MD

Carrollton, TX

Horsham, PA

Columbus, OH

Clearwater, FL

Pay Rate: $18-21 per hour

Benefits:

TridentCare offers a competitive wage and robust benefit package to full time employees.

Benefits include:

• Two weeks of vacation time (accrued)
• Health Insurance after 30 days!
• Sick time
• 6 paid holidays, currently 2 floating holidays
• Medical insurance allowance, giving you the freedom to customize your plan to fit your needs
• Dental insurance
• Vision insurance
• Disability insurance
• Company paid life insurance
• 401(k)

Experience

• 1 - 2 years: Medical Billing Experience

Education

• High School or better

Skills

• Microsoft Office
• Typing Skills Min 35 wpm
• Claims Processing

• Medical Terminology
• Computer Skills
• Time Management
• Identify/Resolve Problems
• Analysis

Behaviors

• Enthusiastic: Shows intense and eager enjoyment and interest
• Team Player: Works well as a member of a group
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

• Thought Provoking: Capable of making others think deeply on a subject

Motivations

• Self-Starter: Inspired to perform without outside help

• Growth Opportunities: Inspired to perform well by the chance to take on more responsibility
• Financial: Inspired to perform well by monetary reimbursement
• Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work
• Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.