Revenue Specialist, Worker's Compensation

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🔥 0 minutes ago

🎸 Tennessee – Remote

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⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

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Logo of EnableComp

EnableComp

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

• Act as liaison between key client contacts and insurance companies • Handle patient health information (PHI) while maintaining privacy and security of confidential and proprietary information • Analyze and evaluate workers’ compensation claim payments using EnableComp’s proprietary software, systems, and tools • Research, request, and acquire medical records, implant manufacturer invoices, and supporting documentation • Submit supporting documentation with hospital claims to insurance companies for prompt and correct reimbursement • Conduct timely telephone follow-up with payers to confirm receipt of claims and documentation and facilitate reimbursement • Prepare workers’ compensation initial bill packets or appeal letters and submit them with required documentation • Perform other duties as required

🎯 Requirements

• High School Diploma or GED required • Associates or Bachelor’s Degree preferred • 1–2+ years’ experience in healthcare billing or collections • 1+ years’ client-facing/customer service experience • 1+ years’ experience with workers’ compensation billing and collections preferred • Intermediate understanding of insurance payer/provider claims processing and data requirements • Strong computer proficiency and basic office application skills, 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 handle stress effectively • 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 concurrently • Ability to remain in a stationary position 50% of the time • Ability to operate a computer and office equipment continuously

🏖️ Benefits

• Professional growth and development • Tools, resources, and support for career growth • Flexible, family-oriented work environment • Work-life balance support • Equal opportunity and non-discrimination commitment

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