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TridentCare
Revenue Cycle Accounts Receivable RepresentativeTridentCare • undefined null, US
Revenue Cycle Accounts Receivable Representative

Revenue Cycle Accounts Receivable Representative

TridentCare • undefined null, US
22 days ago
Job type
  • Full-time
Job description

The rd Party Accounts Receivable Representative is responsible for preparing, submitting and following up on Healthcare claims to ensure timely reimbursement, eligibility verification, and working claim denials.

  • 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.
  • Follow payer contract guidelines set forth for specific payers.
  • Analyze and review reimbursement rates to ensure proper reimbursement is being made based on fee schedules and contracted rates.
  • Review and understand payer denials and identify payer trends.
  • 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.
  • 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.
  • Heavy Phone Calls to payers to understand denials and trends
  • 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- however this position may return to the business office.
  • To work remote, you will need high speed internet and be able to pass speed test.
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Revenue Cycle Accounts Receivable Representative • undefined null, US

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