Accounts Receivable Representative – 3rd Party Non-Gov't Payers

TridentCare

Commercial Accounts Receivable Representative for TridentCare preparing and submitting claims for accounts. Investigating reimbursements and handling billing processes for timely and accurate submissions.

Posted 6/19/2026full-timeRemote • Florida, Maryland, Ohio, Pennsylvania, Texas • 🇺🇸 United StatesJunior💰 $18 - $21 per hourWebsite

About the role

Key responsibilities & impact

Prepare and submit claims for accounts to ensure timely reimbursement
Investigate and process 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.
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

Requirements

What you’ll need

High School or better.
1-2 years: Medical Billing Experience
Microsoft Office
Some Knowledge Typing Skills Min 35 wpm
Intermediate Claims Processing
Some Knowledge Preferred Medical Terminology
Some Knowledge Computer Skills
Advanced Time Management
Intermediate Identify/Resolve Problems
Intermediate Analysis

Benefits

Comp & perks

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)

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

medical billingclaims processinginsurance eligibility verificationaccount adjustmentsrefund processingdocumentation managementdata entrymedical terminologyproblem resolutionanalysis

Soft Skills

time managementindependent workcommunicationorganizational skillsattention to detailcustomer serviceadaptabilitycritical thinkingverbal communicationwritten communication