The Role
Prepare and submit accurate claims, manage claim work queues, follow up with insurance carriers, investigate payment issues, respond to account inquiries, resolve payer problems, and meet productivity and quality goals. The role requires customer service, communication, typing, Microsoft Office, claims processing, and access to a dedicated home workspace with high-speed internet.
Summary Generated by Built In
- 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.
#MBX
Pay Rate: $19-21 per hour
Qualifications Skills Preferred Identify/Resolve Problems Advanced Typing Skills Min 35 wpm Intermediate Time Management Advanced Microsoft Office Intermediate English written/verbal Advanced Customer Service Advanced Computer Skills Intermediate Communication Skills Advanced Claims Processing Intermediate Behaviors Preferred 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 Education Required High School or better. Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThis employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Skills Required
- High school diploma or equivalent
- Minimum typing speed of 35 words per minute
- Intermediate time management skills
- Advanced Microsoft Office skills
- Intermediate English written and verbal skills
- Advanced customer service skills
- Advanced computer skills
- Intermediate communication skills
- Intermediate claims processing skills
- Ability to identify and resolve problems
- Ability to work effectively as part of a team
- Strong attention to detail
- Dedicated and reliable work ethic
- High-speed internet at home
- Dedicated workspace at home
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The Company
What We Do
TridentCare is the leading portable diagnostic services solution for a variety of healthcare markets, delivering quality services at our customers’ locations nationwide. Each day the company deploys experienced medical professionals and leading-edge technology to provide imaging, laboratory, and vascular and services to tens of thousands of patients wherever they are proudly offering consistency and economies of scale that regional providers cannot. For more information about TridentCare, please visit TridentCare.com, and follow us on Instagram.
