Revenue Specialist – Worker's Compensation

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

📋 Description

• Serve as the main point of contact between key client representatives and insurance providers.

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

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

• Investigate, request, and gather medical records, invoices from implant manufacturers, and relevant documentation.

• Submit necessary documentation alongside hospital claims to insurance companies to ensure prompt and accurate reimbursement.

• Conduct timely follow-up calls with payers to verify the receipt of claims and documentation, facilitating reimbursement.

• Prepare initial billing packets or appeal letters for Workers’ Compensation and submit them with the required documentation.

• Execute additional duties as assigned.

⛳️ Requirements

• A High School Diploma or GED is mandatory.

• 1-2+ years of experience in the healthcare sector, specifically in billing or collections.

• At least 1 year of experience in customer service or client-facing roles.

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

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

• Strong computer skills and familiarity with basic office software, including MS Office (Word, Excel, and Outlook).

• A combination of education and relevant experience will be taken into consideration.

• Consistent and reliable attendance is required.

• Capability to meet or surpass productivity goals and targets.

• Ability to work independently without direct oversight.

• Demonstrated written and verbal communication abilities.

• Strong analytical and problem-solving capabilities.

• Experience in dealing with external clients, showcasing strong customer service skills and business insight.

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

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

• Proficient in operating a computer and office equipment.

🏝️ Benefits

• Opportunities for professional growth and development.

• Access to tools, resources, and support to advance careers.

• A flexible, family-friendly work environment.

• Support for maintaining work-life balance.