Revenue Specialist, Commercial Billing, MVA

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

📋 Description

• Perform online medical investigations related to Motor Vehicle Accident and Health Insurance claims utilizing EnableComp’s exclusive software, systems, tools, and online medical resources.

• Conduct research, request, obtain, and examine medical records, provider notes, explanations of benefits, and relevant documentation.

• Oversee the claim lifecycle while communicating effectively with insurance providers.

• Reach out to payers for claim status, refile claims when necessary, and escalate issues as needed.

• Manage claim and resolution activities for HI/GI accounts receivable.

• Address denied claims by submitting corrected claims and initiating appeals.

• Collaborate with involved parties regarding insurance benefits, claim status, and additional requirements.

• Analyze health insurance remittances and work with payers to resolve underpayments.

• Recognize denial trends and notify leadership to aid in denial prevention.

• Serve as a liaison between EnableComp clients, patient attorneys, and insurance companies.

• Handle PHI while ensuring the privacy and security of confidential and proprietary information.

• Communicate issues through the manager, including system errors and HIPAA inquiries.

⛳️ Requirements

• High School Diploma or GED is mandatory.

• An Associate or Bachelor’s degree is preferred.

• A minimum of 2 years’ experience in healthcare billing or collections is required.

• Experience with EMR/Billing systems is essential.

• At least 2 years’ experience in client-facing or customer service roles.

• A minimum of 1 year’s experience in resolving Health Insurance/Government Insurance claims.

• Strong proficiency in computer skills is necessary.

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

• Intermediate understanding of insurance payer/provider claims processing and data requirements for motor vehicle claims.

• Intermediate knowledge of Health Insurance/Government Insurance claims processing.

• Basic understanding of MVA legal requirements.

• Equivalent combinations of education and experience will be considered.

• Regular and predictable attendance is expected.

• Ability to meet or exceed productivity targets and goals is essential.

• Professional demeanor and exceptional customer service skills are required.

• Capacity to maintain stable performance under pressure.

• Ability to work independently without direct supervision.

• Proven written and verbal communication abilities are needed.

• Strong analytical and problem-solving skills are essential.

• Experience working with external clients, strong customer service skills, and business acumen are important.

• Ability to consistently operate a computer and phone is required.

• Commitment to adhering to EnableComp’s Core Values, Vision, and Mission is necessary.

🏝️ Benefits

• Opportunities for professional growth and development.

• Access to tools, resources, and support to excel in your career.

• A flexible, family-oriented work environment.

• Emphasis on work-life balance.

• Weekly team meetings to foster collaboration.

• Equal opportunity employment.