EnableComp, LLC
  • Revenue Services
  • Franklin, TN, USA
  • Full Time

Comprehensive benefits package including 401k!


The Validation Representative performs all activities involved in the preparation, insurance verification and retrieval of medical records and documents from various systems for the timely filing or re-adjudication of workers compensation claims by the Revenue Specialists.

Responsibilities

  • Contacting Employers, Insurers and other outside entities to verify/obtain information, receipt of Insurance Claim and Bill Review packages.
  • Assist in obtaining supporting claim documentation, appropriately compiling billing packets, and filing insurance claims.
  • Assist in efficiently moving work through the department, working as part of a team.
  • Assist with research and support teams within organization as needed.
  • Use several systems to perform accurate and timely data entry.
  • File and handle confidential documentation and patient health information (PHI); able to adhere and follow all HIPAA mandated guidelines.
  • Other duties as required.  

Qualifications & Skills

  • High School Diploma preferred. 
  • Equivalent combination of education and experience will be considered.
  • 1 year of medical bill processing experience desired. 
  • Experience with electronic document management in a healthcare setting desired.
  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
  • Timely and regular attendance.
  • Ability to handle large volumes of work while maintaining attention to detail.
  • Ability to work in a fast-paced environment.
  • Demonstrated experience in working under limited supervision, manage multiple tasks and prioritize assignments with limited time constraints.
  • Effectively communicate issues/problems and results that impact timelines for project completion.
  • Ability to interact professionally at multiple levels within a client-oriented organization.
  • Competent in MS Office Suite and Windows applications.
  • General office environment; must be able to sit for long periods of time.
EnableComp, LLC
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