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TridentCare

Accounts Receivable Rep - 3rd Party - Government

Posted a month ago
$19 - $21 per hour
0-2 years experience
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AI Summary

The role involves preparing and submitting accurate insurance claims while managing account follow-ups to ensure timely cash resolution. You will also communicate with insurance carriers to resolve payment issues and maintain compliance with departmental standards.

  • 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.

#MBX

Pay Rate: $19-21 per hour

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