Revenue Specialist

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

📋 Description

• Serve as the main point of contact between key client representatives and the Veterans Administration.

• Assess and analyze VA claim payments utilizing proprietary software, systems, and tools.

• Evaluate payer payment documentation to ensure reimbursement aligns with relevant state fee schedules.

• Investigate, request, and obtain medical records along with necessary supporting documentation.

• Submit essential documentation with hospital claims to either the Veterans Administration or TriWest.

• Conduct follow-up calls with payers to verify the receipt of claims and assist in reimbursement processes.

• Prepare initial bill packets or appeal letters for the VA and submit the required documentation to insurers.

• Manage patient health information while ensuring the privacy and security of confidential and proprietary data.

• Perform additional responsibilities as needed.

⛳️ Requirements

• High School Diploma or GED is mandatory.

• 2–4+ years of experience in healthcare billing or collections is required.

• At least 2 years of client-facing or customer service experience.

• Minimum of 1 year of experience in VA billing and collections is necessary.

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

• Intermediate understanding of government and veteran benefit programs.

• Strong proficiency in computer usage.

• Basic proficiency in office applications, including MS Office, Word, Excel, and Outlook.

• An equivalent combination of education and experience will be taken into account.

• Must demonstrate regular and predictable attendance.

• Ability to achieve or surpass productivity goals and targets.

• Capability to maintain consistent performance under pressure and manage stress effectively.

• Self-motivated individual who can work independently without direct supervision.

• Proven skills in written and verbal communication.

• Strong analytical and problem-solving abilities.

• Demonstrated experience working with external clients, along with excellent customer service skills and business acumen.

• Ability to prioritize and handle multiple competing priorities and projects.

• Capacity to remain stationary for 50% of the time.

• Proficient in operating computers and office equipment.

🏝️ Benefits

• Opportunities for professional growth and development.

• Access to tools, resources, and support to advance and nurture a career.

• Flexible and family-oriented work atmosphere.

• Support for maintaining work-life balance.

• An equal opportunity workplace that is free from discrimination or harassment.