Revenue Specialist

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🕒 5 dias atrás

🎸 Tennessee – Remoto

🎸 Tennessee – Remote

⏰ Tempo Integral

🟢 Júnior

🚫👨‍🎓 Sem graduação necessária

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EnableComp

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

💼 Consultoria

🛡️ Seguros

📦 Logística

💰 Venture Round em 2022-07

Consulting • Insurance • Logistics

A EnableComp é uma empresa especializada em gerenciamento de ciclo de receita (RCM) para prestadores de saúde e sistemas de saúde em todo os Estados Unidos. Eles se concentram no processamento de sinistros complexos relacionados à Administração de Veteranos, Compensação de Trabalhadores, Acidentes de Veículos Motorizados e Medicaid fora do estado, bem como na gestão de recusas para todas as classes de pagadores. Ao alavancar a automação inteligente e sua plataforma proprietária E360 RCM™, a EnableComp ajuda os prestadores de serviços de saúde a aumentar a receita, controlar custos e simplificar os processos de faturamento. Com expertise no tratamento de sinistros complexos, a empresa garante reembolsos precisos e oportunos, proporcionando um aumento significativo nas cobranças e melhorando o desempenho financeiro de seus clientes.

Descrição

• Act as liaison between key client contacts and the Veterans Administration • Analyze and evaluate VA claim payments using proprietary software, systems, and tools • Use payer payment documentation to determine reimbursement compliance with applicable state fee schedules • Research, request, and acquire medical records and supporting documentation • Submit supporting documentation with hospital claims to the Veterans Administration or TriWest • Conduct telephone follow-up with payers to confirm receipt of claims and facilitate reimbursement • Prepare VA initial bill packets or appeal letters and submit required documentation to insurers • Handle patient health information and maintain privacy and security of confidential and proprietary information • Perform other duties as required

🎯 Requisitos

• High School Diploma or GED required • 2–4+ years’ experience in healthcare billing or collections • 2+ years’ client-facing/customer service experience • 1+ years’ experience with VA billing and collections required • Intermediate understanding of insurance payer/provider claims processing and data requirements • Intermediate understanding of government and veteran benefit programs • Strong computer proficiency • Basic office applications proficiency, including MS Office, Word, Excel, and Outlook • Equivalent combination of education and experience will be considered • Regular and predictable attendance • Ability to meet or exceed productivity targets and goals • Ability to maintain stable performance under pressure and manage stress • Self-starter 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 • Ability to remain stationary 50% of the time • Ability to operate computers and office equipment

🏖️ Benefícios

• Professional growth and development opportunities • Tools, resources, and support to thrive and grow a career • Flexible and family-oriented work environment • Work-life balance support • Equal opportunity workplace free from discrimination or harassment