Revenue Specialist, Worker's Compensation

1 day, 7 hours 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
201-500
Founded 2000

Description

  • Analyze workers’ compensation claim payments against applicable state fee schedules and PPO contracts.
  • Research, request, and obtain medical records, implant invoices, and other documentation supporting hospital claims.
  • Submit claims and supporting documentation to insurance companies for accurate, timely reimbursement.
  • Conduct telephone follow-up with payers to confirm receipt of documentation and resolve reimbursement delays.
  • Prepare initial workers’ compensation billing packets and appeal letters using EnableComp systems.
  • Handle protected health information and confidential company information in accordance with privacy and security requirements.

Requirements

  • High school diploma or GED required; associate’s or bachelor’s degree preferred.
  • 1–2+ years of healthcare billing or collections experience.
  • 1+ years of client-facing or customer service experience.
  • Workers’ compensation billing and collections experience preferred.
  • Intermediate understanding of payer/provider claims processing and related data requirements.
  • Proficiency with Microsoft Office, including Word, Excel, and Outlook.
  • Strong written and verbal communication, analytical, problem-solving, and customer service skills.
  • Ability to meet productivity goals, manage competing priorities, and work independently under pressure.
  • Regular and predictable attendance; ability to use a computer and office equipment throughout the workday.

Benefits

  • Professional growth and career development support.
  • Access to tools, resources, and support to develop professionally.
  • Flexible, family-oriented culture with an emphasis on work-life balance.

Interested in this position?

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