Revenue Specialist, Worker's Compensation (REMOTE)

1 hour, 23 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 workers’ compensation claim payments using EnableComp’s proprietary software and tools.
  • Review payer payment documentation to determine compliance with state workers’ compensation fee schedules and PPO contracts.
  • Research, request, and gather medical records, implant invoices, and other supporting documentation for hospital claims.
  • Submit claims and supporting documents to insurance companies to support prompt and accurate reimbursement.
  • Conduct timely follow-up with payers to confirm receipt of claims and documentation and drive resolution.
  • Prepare initial workers’ comp bill packets or appeal letters using company systems and tools.
  • Maintain privacy and security of patient health information and other confidential information.
  • Perform other duties as required.

Requirements

  • High school diploma or GED required; associate’s or bachelor’s degree preferred.
  • 1–2+ years of experience in the healthcare field, preferably in billing or collections.
  • 1+ years of client-facing or customer service experience.
  • 1+ years of experience with workers’ compensation billing and collections preferred.
  • Intermediate understanding of insurance payer/provider claims processing and related data requirements.
  • Strong computer proficiency, including Microsoft Word, Excel, and Outlook.
  • Equivalent combination of education and experience will be considered.
  • Regular and predictable attendance is required.
  • Ability to perform essential duties satisfactorily with or without reasonable accommodation.

Benefits

  • Professional growth and development support.
  • Tools, resources, and support to help employees thrive and grow their careers.
  • Flexible, family-oriented workplace culture.
  • Work-life balance focus.
  • Equal opportunity employer environment.

Interested in this position?

Apply directly on the company website

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