Accounts Receivable Rep- 3rd Party Non-Gov't… at TridentCare · Remote

Summary: TridentCare is a company in the Finance and Insurance sector, seeking a Commercial Accounts Receivable Representative. The role involves preparing and submitting claims for timely reimbursement, investigating refunds, and maintaining accurate billing records. Responsibilities: - 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 Required Qualifications: - 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 Required Skills: Accounts Receivable, Claims Preparation, Claims Submission, Insurance Eligibility Verification, Billing, Refund Processing, Documentation Management, Account Reconciliation Benefits: 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)