Revenue Specialist, Worker's Compensation

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

📋 Description

• Serve as the intermediary between essential client contacts and insurance providers.

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

• Assess and review workers’ compensation claim payments utilizing EnableComp’s proprietary software, systems, and tools.

• Investigate, request, and obtain medical records, invoices from implant manufacturers, and other supporting documents.

• Submit necessary documentation alongside hospital claims to insurance companies for timely and accurate reimbursement.

• Conduct prompt telephone follow-ups with payers to verify receipt of claims and documentation, facilitating reimbursement.

• Prepare initial bill packets or appeal letters for workers’ compensation and submit them with the necessary documentation.

• Execute additional duties 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 healthcare billing or collections.

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

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

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

• Proficient in computer skills and basic office applications, including MS Office (Word, Excel, and Outlook).

• Equivalent combinations of education and experience will be taken into account.

• Regular and reliable attendance is required.

• Capability to meet or exceed productivity targets and goals.

• Ability to sustain stable performance under pressure and effectively manage stress.

• Self-motivated individual capable of working independently without direct supervision.

• Demonstrated written and verbal communication abilities.

• Strong analytical and problem-solving capabilities.

• Proven experience collaborating with external clients, showcasing strong customer service skills and business acumen.

• Ability to prioritize and manage multiple competing priorities and projects simultaneously.

• Capability to remain in a stationary position for 50% of the time.

• Ability to continuously operate a computer and office equipment.

🏝️ Benefits

• Opportunities for professional growth and development.

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

• Flexible and family-oriented work environment.

• Support for maintaining work-life balance.

• Commitment to equal opportunity and non-discrimination.