Top 113 Claims representative Jobs in Woodbridge, Va

Billing Clerk
Applied Home Health Solutions —Woodbridge, VA
- Entry level
Claims - Field Claims Representative
The Cincinnati Insurance Companies —Fairfax, VA
- $70,000 - $108,000 a year
- Day shift
- Mid-level
- Driver's License
- Bachelor's degree
- Paid time off
- 401(k) matching
5d
Senior Claims Representative - REMOTE
Ryder System —Washington, DC
- $75,000 - $80,000 a year
- Remote
- Management
- 5 years
- Bachelor's degree
- Disability insurance
- Health insurance
13d
Claims Analyst - REMOTE
Ryder System —Washington, DC
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
DQA Representative
Lifecare Medical Transports —Fredericksburg, VA
- Computer literacy
- HIPAA
- Mid-level
Licensed Insurance Sales Representative
Donna Carter - State Farm Agency —Alexandria, VA
- From $25 an hour
- Urgently hiring
- Spanish
- English
- Office
- Health insurance
- Paid time off
Quick Apply
6d
Claims Representative
Berkley —Manassas, VA
- $65,000 - $95,000 a year
- Full-time
- Mid-level
- 3 years
- Analysis skills
- Profit sharing
- Health insurance
9h
Patient Account Representative, Self-Pay
Virginia Heart —Falls Church, VA
- Full-time
- Hybrid work
- Microsoft Word
- Medical office experience
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Member Services Representative – Call Representative
Worldwide Assurance for Employees of Public Agencies —Falls Church, VA
- $44,293 - $66,440 a year
- Mid-level
- 2 years
- Communication skills
Quick Apply
Workers' Compensation Senior Claim Representative
The Hartford —Washington, DC
- $62,400 - $93,600 a year
- Full-time
- Hybrid work
- Microsoft Outlook
- Customer service
- Computer literacy
Patient Services Representative
Prism Vision Group —Fairfax, VA
- $18.00 - $31.89 an hour
- Computer literacy
- HIPAA
- English
Claims Analyst I
Healthcare Legal Solutions LLC —Washington, DC
- $50,000 - $60,000 a year
- Microsoft Excel
- Bachelor of Science
- Writing skills
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Ryan Seation - State Farm Agent —Manassas, VA
- $40,000 - $60,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply
Claims (Billing) Specialist / Patient Account Representative - Healthcare
Guidehouse Managed Services LLC —Washington, DC
- $38,000 - $64,000 a year
- Full-time
- Hybrid work
- Customer service
- Basic math
- Mid-level
- Health savings account
- Paid holidays
Collections Representative
Children's National Hospital —Washington, DC
- $18.54 - $30.89 an hour
- Full-time
- In person
- Microsoft Excel
- Customer service
- Research
Risk Manager
University of Virginia —Manassas, VA
- $43.16 - $72.89 an hour
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
Insurance Verification Representative
Med-Metrix —Arlington, VA
- $20 - $23 an hour
- Full-time
- HIPAA
- High school diploma or GED
- Data entry
13d
Customer Service Representative - State Farm Agent Team Member
Stephanie Hernandez - State Farm Agent —Alexandria, VA
- $45,000 - $50,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- Paid time off
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Yvette Schuler - State Farm Agent —Alexandria, VA
- $40,000 - $55,000 a year
- Full-time
- Office
- Children
- Communication skills
- Health insurance
- Paid time off
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Shadonna Lewis - State Farm Agent —Bryans Road, MD
- $40,000 - $60,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- 401(k)
- Paid time off
Quick Apply

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Billing Clerk

Applied Home Health Solutions
Woodbridge, VA

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Job Details

Qualifications

Medicare
Accounts receivable management
Account maintenance
Medical insurance coverage verification
Filing
Client file management
Data summary reports
Accounting data entry
Charge capture (medical billing)
Medical billing and coding communication with insurance companies
Payment posting in medical billing systems
Medical claims submission
Mail processing
Medical claim status updates
Entry level

Full Job Description

Job Description Billing Clerk

Report to: Finance

Department: Director of Reimbursements

Position Summary:

Compiles service data, prepares invoices for claim statements, maintains accurate claim statement records and processes claims in a timely manner, as established by Agency protocol. Maintains accurate statistical data records involving client services provided, claims and accounts receivable. Responsible for timely response to payer information requests and Medicare Credit Balance Report submission.

Position Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

Daily Duties:

Assumes the backup responsibilities for entering visit slips in computer system each day, as received.
Posts all distributed medical supplies to each client’s account.
Follows up on claims that have been submitted for payment for more than sixty days, for all payers.
Answers questions for payers regarding submitted claims.
Files all pre-billing worksheets and unpaid claims on the pre-billing worksheet.
Prepares and submits adjustments to Medicare, third party payers and clients, as required.

Weekly Duties:

Develops and prints a working list of all patients with active visits during the specified period.
Assures alt patient visits occurring during the specified period have plan of care (485’s) and verbal orders signed by the physician prior to submitting claims.
Prepares a working list of Medicare claims for electronic claim submission for the specified period.
Prepares an Absent Data Report for the specified working list(s), connecting any absences noted on the report.
Submits Medicare claim file via electronic media every other week, on Wednesday, unless approval for late submission obtained by supervisor.
Print and file copies of UB-92’s in a file folder for unpaid Medicare claims.
Verify receipt of electronically submitted claim batch files with Medicare.

Private insurance monthly Billing:

Develops and prints a working list of certifications and re-certifications occurring during the specified period.
Assures all patients with active visits during the specified period have signed plan of cares (485’s) and verbal orders signed by the physician prior to submitting claims.
Separates various working lists by primary payer.
Prepares a working list of non-Medicare claims for “hard-copy” claim submission.
Prepares an Absent Data Report for the specified working list(s), connecting any absences noted on the report.
Prints UB-92 HCFA 1500 or client statements forms, as specified by payer requirements.
Makes copies of all Plan of Care’s, clinical care notes, physician order, and any required authorization letters for submission with claim.
Submits claim to payer via certified mail, with return receipt requested.
Files copies of UN-92’s, HCFA 1500’s and client statements in a file folder for unpaid claims.

Additional On-going Duties:

Performing computer data transfers daily.
Posts all accounts receivable payments to the appropriate ledger accounts.
Prepares requested documentation for all payers within requested time frame. Mails requested documentation via certified mail, with receipt requested.
Submits information regarding all claim denials to immediate supervisor in a timely manner.
Verify Medicare HIC numbers and all other insurance information and refer information to Agency staff.
Assists other Agency staff members in developing reports from ‘Prompt”, as requested by the Chief Financial Officer, within the time frame specified.
Completes additional projects as requested by the Chief Financial Officer, with the time frame specified.

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Refine Your Search

claims representative jobs in woodbridge, va

Billing Clerk

Claims - Field Claims Representative

Senior Claims Representative - REMOTE

Claims Analyst - REMOTE

DQA Representative

Licensed Insurance Sales Representative

Claims Representative

Patient Account Representative, Self-Pay

Member Services Representative – Call Representative

Workers' Compensation Senior Claim Representative

Patient Services Representative

Claims Analyst I

Customer Service Representative - State Farm Agent Team Member

Claims (Billing) Specialist / Patient Account Representative - Healthcare

Collections Representative

Risk Manager

Insurance Verification Representative

Customer Service Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

Customer Service Representative - State Farm Agent Team Member

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Job Description Billing Clerk

Report to: Finance

Department: Director of Reimbursements

Position Summary:

Position Qualifications:

Daily Duties:

Weekly Duties:

Private insurance monthly Billing:

Additional On-going Duties:

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