Revenue Specialist, MVA

🔥 14 hours ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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 accounts to identify and coordinate insurance benefits and resolve outstanding client balances • Work with patients and insurance carriers until claims are reprocessed and payment is issued • Conduct online medical research of Motor Vehicle Accident claim payments using proprietary systems, tools, and medical websites • Research, request, acquire, and review medical records, provider notes, explanations of benefits, and supporting documentation • Submit supporting documentation with hospital claims to insurance companies for accurate reimbursement • Follow up with payers by telephone and update claim systems with accurate information • Prepare MVA initial bill packets or appeal letters and submit them with required documentation • Contribute through collaborative teamwork, continuous improvement, and a client-first approach • Meet departmental performance and production targets • Attend weekly team meetings and communicate issues to the manager • Stay current on state laws governing fee schedules, filing limits, and other statutes • Perform other duties as required

🎯 Requirements

• High School Diploma or GED required • Associates or Bachelor’s Degree preferred • 2-4+ years’ experience in healthcare billing or collections • 2+ years’ client-facing/customer service experience • 1+ years’ experience with MVA billing and collections required • Intermediate understanding of insurance payer/provider claims processing and data requirements • Intermediate understanding of MVA legal requirements • Strong computer proficiency and basic office applications, including MS Office (Word, Excel, and Outlook) • Strong interpersonal, communication, analytical, and problem-solving skills • Proven ability to meet or exceed productivity targets and goals • Proven experience working with external clients, strong customer service skills, and business acumen • Ability to work independently without direct supervision • Regular and predictable attendance • Ability to remain stationary 50% of the time • Ability to constantly operate a computer and other office equipment • Equivalent combination of education and experience will be considered

🏖️ Benefits

• Professional growth and development support • Tools, resources, and support for career growth • Flexible, family-oriented work culture • Work-life balance support