Revenue Specialist, VA

1 hour, 57 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

  • Analyze and evaluate Veterans Administration claim payments using EnableComp’s proprietary software and tools.
  • Determine whether providers were reimbursed in compliance with the applicable state fee schedule based on payer payment documentation.
  • Research, request, and obtain medical records and supporting documentation needed to submit hospital claims to the Veterans Administration or TriWest.
  • Submit claims and supporting documentation to help ensure prompt and correct reimbursement.
  • Conduct timely telephone follow-up with payers to confirm receipt of claims and supporting documentation.
  • Prepare initial VA bill packets and appeal letters using EnableComp system tools.
  • Work as a liaison between key client contacts and the VA.
  • Handle patient health information and maintain strict privacy and security standards for confidential information.
  • Perform other duties as required.

Requirements

  • High school diploma or GED required.
  • Associate's or bachelor's degree preferred.
  • 2-4+ years of experience in the healthcare field working in billing or collections.
  • 2+ years of client-facing or customer service experience.
  • 1+ years of experience with VA billing and collections required.
  • Experience with other complex claims is a plus.
  • Intermediate understanding of insurance payer/provider claims processing and related data requirements.
  • Intermediate understanding of government and veteran benefit programs.
  • Strong computer proficiency, including MS Office (Word, Excel, and Outlook).
  • Equivalent combination of education and experience will be considered.

Interested in this position?

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