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

Comprehensive benefits package including 401k!


Do you have experience with physician/professional billing?  Do you enjoy working in small teams where you can make an impact?  If you answered yes, this may be the right opporutnity for you!

The Revenue Specialist, Physician Billing acts as the liaison between key client contacts and insurance companies to ensure prompt reimbursement resolution.  This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information.

Responsibilities

  • Analyze and evaluate worker's compensation claim payments using EnableComp's proprietary software, systems and tools.
  • Use payment documentation provided by payers to determine if the medical provider has been reimbursed in compliance with the applicable state worker's compensation fee schedule and/or PPO contract for professional/physician groups.
  • Research, request and acquire all necessary medical records, implant manufacturer's invoices and any other supporting documentation necessary and then submit hospital claims to insurance companies to ensure prompt and correct claims reimbursement.
  • Conduct timely and thorough telephone follow-up with worker's compensation insurance companies to ensure claims with supporting documentation have been received and facilitate prompt reimbursement.
  • Prepare correct workers' compensation billing packets and/or underpayment review letters using EnableComp tools; ensure proper submission including supporting documentation to insurance companies.
  • Other duties as required.

Qualifications and Skills

  • High School Diploma or GED required.  Associates or Bachelor's Degree preferred.
  • 1-2+ years' experience in healthcare field working in billing or collections, Physician / Professional billing desired.
  • 1+ years' client facing/customer services experience.
  • 1+ years' experience with workers compensation billing and collections a preferred.
  • Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements.
  • Equivalent combination of education and experience will be considered.
  • 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.
  • Must be a self-starter and able to work independently without direct supervision.
  • Proven written and verbal communication skills.
  • Strong analytical and problem solving skills.
  • Proven experience working with external clients; strong customer service skills and business acumen.
  • Ability to prioritize and manage multiple competing priorities and projects concurrently.
  • General office environment; must be able to sit for long periods of time.

EnableComp, LLC
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