TridentCare
Description
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.
- At this time this position will work remotely from home due to COVID-19 however this position may return to the business office.
- To work remote need high speed internet and be able to pass speed test.
Qualifications
Skills
Required
Medical Terminology
Novice
Microsoft Office
Some Knowledge
Typing Skills Min 35 wpm
Intermediate
Claims Processing
Some Knowledge
Behaviors
Required
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