Revenue Specialist, First Party Billing, MVA

New

EnableCompHealthcare revenue cycle

United States - RemoteFull-TimeJunior

Salary not disclosed

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Job Details

Experience: 2+ years’ experience in healthcare field working in billing or collections. 1+ years’ experience with MVA claim resolution preferred.
Required Skills: Microsoft ExcelMS Office

Have a high school diploma or GED; an associate or bachelor’s degree is preferred.
Have 2+ years of experience in healthcare billing or collections.
Have 1+ years of experience with MVA claim resolution preferred.
Demonstrate strong computer proficiency and knowledge of basic office applications, including MS Word, Excel, and Outlook.
Have an intermediate understanding of insurance payer/provider claims processing and data requirements for MVA and first-party auto claims.
Maintain regular and predictable attendance.
Demonstrate written and verbal communication skills.
Show strong analytical and problem-solving skills.
Work independently and maintain performance under pressure.

Research Motor Vehicle Accident claim payments using EnableComp software, systems, tools, and online medical websites.
Request, acquire, and review medical records, provider notes, explanations of benefits, and other supporting documentation.
Submit hospital claims to insurance companies with the documentation needed for reimbursement.
Follow up with payers, update claim systems with accurate information, and confirm supporting documentation has been received.
Prepare MVA billing packets using EnableComp systems and submit them with required supporting documentation.
Communicate with patients and insurance adjusters about claim status and expected resolution.
Review payer explanations of benefits and determine appropriate actions for claim balances after auto insurance claim resolution.
Handle patient health information while maintaining privacy and security.

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