Revenue Specialist, Worker's Compensation
New
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EnableCompRevenue Cycle Management
United States - Remote; Franklin, TNFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- 1-2+ years’ experience in healthcare field working in billing or collections; 1+ years’ client facing/customer services experience.
- Required Skills
- Microsoft ExcelAnalytical SkillsCustomer service
Requirements
- High School Diploma or GED (Associate's or Bachelor's preferred).
- 1-2+ years of experience in the healthcare field working in billing or collections.
- 1+ years of client-facing or customer service experience.
- Intermediate understanding of insurance payer/provider claims processing and data requirements.
- Strong computer proficiency including MS Word, Excel, and Outlook.
- Proven ability to meet or exceed productivity targets and goals.
- Strong analytical and problem-solving skills.
- Ability to prioritize and manage multiple competing priorities independently.
- Ability to remain in a stationary position 50% of the time and operate office equipment constantly.
- Regular and predictable attendance.
Responsibilities
- Analyze and evaluate worker’s compensation claim payments using proprietary software.
- Determine if medical providers were reimbursed in compliance with state fee schedules and PPO contracts.
- Research, request, and acquire medical records, invoices, and supporting documentation.
- Submit initial Workers’ Comp bill packets or appeal letters to insurance companies.
- Conduct timely telephone follow-up with payers to ensure receipt of claims and facilitate reimbursement.
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