
Revenue Recovery Specialist β MVA
Posted 6 days ago

Posted 6 days ago
This is a fully remote position, open to applicants in Alabama, +18 more states.
β’ Manage and resolve motor vehicle and health insurance claims pertaining to facility and physician invoices.
β’ Oversee a portfolio of accounts within a collaborative team atmosphere.
β’ Address new and priority accounts in accordance with client guidelines, including conducting coverage investigations.
β’ Handle aged and high-value accounts to facilitate prompt recovery.
β’ Evaluate accounts that require detailed analysis alongside coding and utilization departments.
β’ Identify and manage accounts with multiple payers, inclusive of PIP, health insurance, and third-party liability.
β’ Prepare and submit appeals along with necessary documentation.
β’ Maintain clear, concise, and thorough notes on account resolutions.
β’ Engage professionally with payer representatives, patients, and attorneys through both inbound and outbound communications.
β’ Acquire and apply client-specific protocols and procedures.
β’ Recognize recent trends in payer resolutions and share insights with colleagues.
β’ A high school diploma or GED is required.
β’ 1 to 3 years of experience in MVA claims and health claims is preferred.
β’ Demonstrated success in collecting hospital claims from insurance providers.
β’ Experience in reviewing EOBs for reasons related to payment or denial.
β’ Familiarity with Microsoft Word and Excel is preferred.
β’ Experience with EPIC is preferred.
β’ Ability to manage multiple tasks and prioritize effectively.
β’ Proficient use of web-based client and payer portals, as well as notation databases.
β’ Professional communication skills with auto payers, health payers, patients, and attorneys.
β’ Must present a valid government-issued photo ID during screening and/or interviews.
β’ Preference will be given to applicants from AL, AR, AZ, FL, GA, ID, IN, KS, ME, MI, MO, MS, NC, NM, OK, PA, SC, TN, TX, VA, WI, and WV.
β’ Medical insurance
β’ Dental insurance
β’ Vision insurance
β’ Life insurance
β’ Short-term disability
β’ Long-term disability
β’ Bonus opportunities
β’ Paid holidays
β’ 401(k)
β’ Generous PTO policy
β’ Remote work
β’ Dedicated, distraction-free workspace at home
CVS Health
Medical Review Institute of America, LLC
Thriveworks
Pearce Services
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