Accounts Receivable Rep - 3rd Party - Government

Description

• 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.

• Thought Provoking - Capable of making others think deeply on a subject
• Team Player - Works well as a member of a group
• Enthusiastic - Shows intense and eager enjoyment and interest
• Detail Oriented - Capable of carrying out a given task with all details necessary to get the task done well
• Dedicated - Devoted to a task or purpose with loyalty or integrity

• Work-Life Balance - Inspired to perform well by having ample time to pursue work and interests outside of work
• Ability to Make an Impact - Inspired to perform well by the ability to contribute to the success of a project or the organization
• Self-Starter - Inspired to perform without outside help
• Goal Completion - Inspired to perform well by the completion of tasks
• Flexibility - Inspired to perform well when granted the ability to set your own schedule and goals

High School (required)

• Identify/Resolve Problems (preferred)
• Typing Skills Min 35 wpm (preferred)
• Time Management (preferred)
• Microsoft Office (preferred)
• English written/verbal (preferred)
• Customer Service (preferred)
• Computer Skills (preferred)
• Communication Skills (preferred)
• Claims Processing (preferred)

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

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