Revenue Specialist, Commerical Billing, MVA (REMOTE)

1 hour, 38 minutes ago
Full-time
Junior
Operations
EnableComp

EnableComp

EnableComp specializes in complex claims and specialty revenue cycle management solutions for healthcare providers, focusing on optimizing reimbursements for various claims types, including VA, Workers' Compensation, and Motor Vehicle Accidents, throug...

Insurance
251-1K
Founded 2000

Description

  • Investigate and analyze Motor Vehicle Accident accounts to identify and coordinate insurance benefits.
  • Conduct online medical research using proprietary systems and other online medical sources.
  • Request, review, and organize medical records, provider notes, explanation of benefits, and supporting documentation.
  • Manage claim lifecycles and communicate account details accurately to insurance carriers.
  • Contact payers to check claim status, rebill accounts when needed, and escalate issues appropriately.
  • Resolve denied claims by submitting corrected claims and filing appeals.
  • Review insurance remittances and work with payers to resolve underpayments.
  • Communicate with clients, attorneys, and insurance companies to support claim adjudication.
  • Identify denial trends and report them to leadership to support prevention efforts.
  • Attend team meetings and communicate operational or HIPAA-related issues to management.

Requirements

  • High school diploma or GED required; associate or bachelor's degree preferred.
  • 2+ years of experience in healthcare billing or collections.
  • EMR/billing system experience required.
  • 2+ years of client-facing or customer service experience.
  • 1+ years of experience resolving health insurance or government insurance claims required.
  • Strong computer proficiency with MS Office, including Word, Excel, and Outlook.
  • Intermediate understanding of payer/provider claims processing and data requirements for motor vehicle claims.
  • Intermediate understanding of health insurance and government insurance claims processing.
  • Basic understanding of MVA legal requirements.
  • Regular and predictable attendance is required.
  • Equivalent combinations of education and experience will be considered.
  • Must be able to work independently and maintain strong written, verbal, analytical, and problem-solving skills.

Benefits

  • Opportunity to join a multi-year Top Workplaces award recipient.
  • Work for a Black Book #1 Specialty Revenue Cycle Management Solution provider in 2024.
  • Career growth and professional development support.
  • A culture that values employee investment, tools, resources, and support.
  • Flexible, family-oriented workplace with work-life balance emphasis.

Interested in this position?

Apply directly on the company website

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