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 remote 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.

#MBX

Pay Rate $16-19

Benefits for Job Postings;

Benefits:

TridentCare offers a competitive wage and robust benefit package to full time employees. Part time employees are eligible for many of the same below, pro-rated. Benefits include:

• Two weeks of vacation time
• Health Insurance after 30 days!
• Sick time
• 8 paid holidays
• Same day pay available
• 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)

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

Self-Starter - Inspired to perform without outside help

High School (required)

2 years: Medical Billing Experience (required)