EnableComp, LLC
  • Motor Vehicle Accident
  • Franklin, TN, USA
  • Full Time

Comprehensive Benefits package including 401k!


Our Mission

We partner with healthcare providers to maximize reimbursement from complex claims payers by having the best people, processes, products and performance.

 

Our Vision

We enable healthcare providers to do what they do best.

 

Position Summary

The Revenue Specialist, Motor Vehicle Accidents investigate and analyze accounts in order to properly identify and coordinate insurance benefits and resolve outstanding balances for our clients. They work closely with the patient as well as insurance carries until the claim has reprocessed and payment has been issued.

 

Key Responsibilities

  • Conduct online medical research of Motor Vehicle Accident claim payments using EnableComp's proprietary software, systems and tools, as well as, other online medical websites.
  • Research, request, acquire, and review medical records, provider notes, explanation of benefits and any other supporting documentation necessary for knowledge of appeal or account information, and then submit with hospital claims to insurance companies to ensure prompt correct claims reimbursement.
  • Conduct timely and thorough telephone follow-up with payers to update claim system with accurate information and ensure supporting documentation have been received and facilitate prompt reimbursement.
  • Prepare correct MVA initial bill packet or appeal letter using EnableComp systems tools and submit with all necessary supporting documentation to insurance companies
  • Other duties as required.

 

Requirements and Qualifications

  • High School Diploma or GED required. Associates or Bachelor's Degree preferred.
  • 2-4+ years' experience in healthcare field working in billing or collections.
  • 2+ years' client facing/customer services experience.
  • 1+ years' experience with MVA billing and collections required. Other complex claims experience a plus.
  • Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements.
  • Intermediate level understanding of MVA legal 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.

 

Special Considerations and Prerequisites

  • Practices and adheres to EnableComp's Core Values, Vision and Mission.
  • Timely and regular attendance.
  • Proven ability to meet and/or exceed productivity targets and goals.
  • Maintains stable performance under pressure or opposition. Handles stress in ways to maintain relationships with all stakeholders.
  • 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.
  • Attend weekly team meetings to discuss updates/changes such as new hospital procedures or current client issues
  • Communicate any issues through the manager including, but not limited to, systems errors, questions for other departments, HIPAA questions.
  • Stay up to date on state laws governing fee schedules, filing limits, and other statutes

 

EnableComp, LLC
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