Revenue Specialist, First Party Billing

🔥 14 hours ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Billing Specialist

🚫👨‍🎓 No degree required

👻 Ghost score 10%

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EnableComp

WebsiteLinkedInAll Job Openings

501 - 1000 employees

💼 Consulting

🛡️ Insurance

📦 Logistics

💰 Venture Round on 2022-07

Consulting • Insurance • Logistics

EnableComp is a company that specializes in revenue cycle management (RCM) for healthcare providers and health systems across the United States. They focus on processing complex claims related to Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid, as well as denial management for all payer classes. By leveraging intelligent automation and their proprietary E360 RCM™ platform, EnableComp helps healthcare providers increase revenue, control costs, and streamline billing processes. With expertise in handling complex claims, the company ensures accurate and timely reimbursement, providing significant uplift to collections and improving the financial performance of its clients.

📋 Description

• Investigate and analyze Motor Vehicle Accident accounts to identify and coordinate insurance benefits and resolve outstanding client balances • Work closely with patients and insurance carriers until first-party claims are processed and resolved • Handle patient health information (PHI) while maintaining strict privacy and security of confidential and proprietary information • Conduct online medical research of MVA claim payments using EnableComp’s proprietary software, systems, tools, and other medical websites • Research, request, acquire, and review medical records, provider notes, explanations of benefits, and supporting documentation • Submit hospital claims to insurance companies to ensure prompt and accurate reimbursement • Follow up with payers to update claim systems accurately and verify receipt of supporting documentation • Make key decisions to facilitate claim resolution • Prepare accurate MVA billing packets and submit them with required documentation • Communicate with patients and insurance adjusters regarding claim status and timely resolution prospects • Review payer EOBs and determine appropriate actions for claim balances after auto insurance claim resolution • Perform other duties as required

🎯 Requirements

• High School Diploma or GED required • Associate or bachelor’s Degree preferred • 2+ years’ experience in healthcare field working in billing or collections • 1+ years’ experience with MVA claim resolution preferred • Strong computer proficiency • Basic office applications, including MS Office (Word, Excel, and Outlook) • Intermediate understanding of insurance payer/provider claims processing and related data requirements for MVA and first party auto claims • An equivalent combination of education and experience will be considered • Regular and predictable attendance • Ability to perform each essential duty satisfactorily • Proven ability to meet and/or exceed productivity targets and goals • Professional image and excellent customer service • Ability to maintain stable performance under pressure or opposition • Ability to handle stress while maintaining stakeholder relationships • Self-starter able to work independently without direct supervision • Proven written and verbal communication skills • Strong analytical and problem-solving skills

🏖️ Benefits

• Full-time employment • Professional growth and development opportunities • Tools, resources, and support for career growth • Flexible, family-oriented workplace • Work-life balance support • Equal opportunity employment