Revenue Specialist, Worker's Compensation

1 hour, 43 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 workers’ compensation claim payments using EnableComp systems and payer documentation.
  • Determine whether providers were reimbursed according to applicable state fee schedules and PPO contracts.
  • Research and obtain medical records, implant invoices, and other documentation needed to support claims.
  • Submit hospital claims and supporting documentation to insurance companies.
  • Follow up with payers by telephone to confirm receipt and facilitate reimbursement.
  • Prepare and submit workers’ compensation billing packets and appeal letters.
  • Maintain strict privacy and security when handling protected health information.
  • Perform additional duties as assigned.

Requirements

  • High school diploma or GED required; associate or bachelor’s degree preferred.
  • 1–2+ years of experience in healthcare billing or collections.
  • 1+ year of client-facing or customer service experience.
  • Workers’ compensation billing and collections experience preferred.
  • Intermediate understanding of insurance payer/provider claims processing and data requirements.
  • Proficiency with basic office applications, including Microsoft Word, Excel, and Outlook.
  • Strong written and verbal communication, analytical, and problem-solving skills.
  • Ability to work independently, manage competing priorities, and meet productivity targets.
  • Proven external client service experience and business acumen.
  • Regular and predictable attendance; ability to remain stationary for approximately 50% of the workday and operate office equipment.

Benefits

  • Professional growth and development support, including tools, resources, and career-building opportunities.
  • Flexible, family-oriented workplace culture that supports work-life balance.
  • Collaborative environment focused on employee empowerment and shared goals.
  • Equal opportunity workplace committed to a discrimination- and harassment-free environment.

Interested in this position?

Apply directly on the company website

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