Revenue Specialist, MVA

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

📋 Description

• Analyze and investigate accounts to identify and coordinate insurance benefits, while resolving outstanding client balances.

• Collaborate with patients and insurance carriers until claims are reprocessed and payments are issued.

• Perform online medical research regarding Motor Vehicle Accident claim payments utilizing proprietary systems, tools, and medical websites.

• Research, request, obtain, and review medical records, provider notes, explanations of benefits, and supporting documentation.

• Submit necessary documentation along with hospital claims to insurance companies to ensure accurate reimbursement.

• Follow up with payers via telephone and update claim systems with precise information.

• Prepare initial MVA bill packets or appeal letters and submit them alongside required documentation.

• Contribute to a collaborative team environment, focusing on continuous improvement and a client-first mindset.

• Achieve departmental performance and production goals.

• Participate in weekly team meetings and communicate any issues to the manager.

• Stay informed on state laws related to fee schedules, filing limits, and other relevant statutes.

• Perform additional duties as necessary.

⛳️ Requirements

• Required: High School Diploma or GED.

• Preferred: Associates or Bachelor’s Degree.

• 2-4+ years of experience in healthcare billing or collections.

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

• Minimum of 1 year of experience in MVA billing and collections is required.

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

• Intermediate understanding of MVA legal requirements.

• Proficiency in computers and basic office applications, including MS Office (Word, Excel, and Outlook).

• Strong interpersonal, communication, analytical, and problem-solving abilities.

• Demonstrated capability to meet or exceed productivity targets and goals.

• Proven experience in engaging with external clients, possessing strong customer service skills and business acumen.

• Ability to work independently without direct supervision.

• Regular and reliable attendance is required.

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

• Capability to consistently operate a computer and other office equipment.

• An equivalent combination of education and experience will be considered.

🏝️ Benefits

• Support for professional growth and development.

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

• Flexible, family-oriented workplace culture.

• Assistance in maintaining work-life balance.