TridentCare

The Customer Service Representative is responsible for processing customer orders via telephone while ensuring a professional and positive customer experience. They are also expected to perform cross-trained functions within the department and maintain productivity standards for call volume.

Manage the submission and follow-up of government revenue cycle claims to ensure timely cash resolution. Coordinate with insurance carriers to resolve underpayments and maintain productivity goals.

The role involves verifying insurance eligibility and updating patient demographics to ensure claims are sent to the correct payers. Responsibilities also include resolving eligibility errors, registering patients, and researching and resubmitting claims.

Responsible for auditing facility contracts and billing accuracy across various lines of business to ensure compliance with company and government policies. Acts as the primary point of contact for contractual billing inquiries and manages the transition process for acquisitions.

Responsible for preparing, editing, and submitting insurance claims to ensure timely reimbursement from non-government payers. The role involves resolving account discrepancies, processing refunds, and maintaining accurate billing records.