Experienced Medical Biller – Worker's Compensation

This is a fully remote position, open to applicants in Tennessee.

📋 Description

• Serve as the primary point of contact between key clients and insurance providers.

• Utilize EnableComp’s proprietary software, systems, and tools to analyze and assess workers’ compensation claim payments.

• Evaluate payer payment documentation to verify that medical providers received reimbursements according to relevant state workers’ compensation fee schedules and/or PPO agreements.

• Collect, request, and obtain medical records, invoices from implant manufacturers, and other necessary documentation.

• Submit supporting documentation along with hospital claims to insurance companies for accurate and timely reimbursement.

• Perform timely follow-up calls with payers to ensure receipt of claims and documentation, aiding in the reimbursement process.

• Prepare initial bill packets or appeal letters for Workers’ Compensation claims and submit them with the requisite documentation.

• Manage patient health information while ensuring the confidentiality and security of sensitive and proprietary data.

• Carry out additional responsibilities as needed.

⛳️ Requirements

• High School Diploma or GED is mandatory.

• An Associate's or Bachelor’s Degree is preferred.

• 1-2+ years of experience in the healthcare sector, specifically in billing or collections.

• At least 1 year of customer-facing/client service experience.

• Preferred experience of 1+ years in workers' compensation billing and collections.

• Intermediate knowledge of insurance payer/provider claims processing and associated data requirements.

• Proficient in computer usage and skilled in MS Office applications, including Word, Excel, and Outlook.

• A combination of education and experience that is equivalent will be accepted.

• Consistent and reliable attendance is required.

• Capability to meet or surpass productivity goals and targets.

• Ability to work autonomously without direct supervision.

• Strong written and verbal communication skills are essential.

• Demonstrated analytical and problem-solving abilities.

• Proven track record of working with external clients, showcasing strong customer service skills and business insight.

• Capability to prioritize and manage multiple competing tasks and projects simultaneously.

• Must be able to remain in a stationary position for 50% of the time.

• Proficiency in operating a computer and other office equipment is necessary.

🏝️ Benefits

• Full-time employment opportunities.

• Opportunities for professional growth and development.

• Access to tools, resources, and support for career advancement.

• A flexible, family-oriented workplace culture.

• Support for maintaining work-life balance.