MVA/Third Party Liability Resolution Specialist I

Job not on LinkedIn

🔥 59 minutes ago

🇺🇸 United States – 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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Revco Solutions

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

🛡️ Insurance

💼 Consulting

Healthcare • Insurance • Consulting

Revco Solutions is a leading provider of revenue cycle management services specializing in healthcare debt collection and compliance. With a commitment to excellence, they offer tailored solutions that enhance performance while ensuring the highest standards of security and compliance. Their experienced team is dedicated to improving the financial health of healthcare organizations by optimizing collection efforts and providing superior client and patient experiences.

📋 Description

• Review potential MVA/TPL accounts and determine whether they meet program and scope requirements • Review registration, diagnosis, accident, insurance, clinical, billing, and account information to validate MVA/TPL status • Investigate accident details, responsible parties, insurance carriers, claim numbers, attorney representation, and reimbursement sources • Communicate with patients, insurance carriers, claims adjusters, attorneys, and other involved parties • Confirm claims have been submitted and perform follow-up, resubmission, and supporting-documentation activities • Prepare and submit claim documentation, including itemized statements, medical records, accident information, and other materials • Identify accounts requiring corrected claims, demographic or insurance updates, coding review, or client-system corrections and route requests • Prepare, submit, document, and track hospital liens • Monitor lien status, notices, documentation requirements, follow-up dates, and settlement activity • Maintain follow-up with liability carriers, attorneys, patients, and other responsible parties regarding claim status and reimbursement • Resolve routine payment, billing, documentation, and claim-processing issues • Escalate disputed, delayed, underpaid, complex, or unusual accounts to a Level II Specialist or leadership • Review payments, adjustments, account balances, demographic changes, and account updates • Maintain complete documentation of investigations, claim activity, communications, lien activity, payments, and final account disposition • Use EHR, payer and carrier resources, client systems, and Revco account-management systems to research assigned accounts • Prioritize daily workload and identify recurring account issues or barriers for leadership • Participate in training and ongoing development related to MVA/TPL claims, hospital liens, and healthcare reimbursement • Perform other duties and special projects as assigned

🎯 Requirements

• 1–3 years of experience in healthcare revenue cycle, medical billing, insurance follow-up, claims administration, MVA/TPL, workers' compensation, bodily injury claims, subrogation, medical liens, or a related environment preferred • Previous hospital or provider-side revenue cycle experience preferred • Familiarity with insurance claims, healthcare billing, payments, adjustments, and reimbursement processes • MVA/TPL or liability claims experience strongly preferred, or relevant healthcare or insurance claims experience • Ability to research account information, identify missing information, and follow established processes through resolution • Ability to communicate professionally with patients, attorneys, claims adjusters, insurance carriers, clients, and internal departments • Strong written and verbal communication skills • Strong organizational and follow-up skills • Demonstrated attention to detail and accurate account documentation • Ability to manage multiple accounts and competing priorities • Experience with EPIC, Cerner, Meditech, CRXIS, or comparable patient accounting/account-management systems preferred but not required • Compliance with HIPAA, regulatory requirements, client requirements, and company policies and procedures

🏖️ Benefits

• Equal employment opportunity commitment • Reasonable accommodations during the application and hiring process for qualified individuals with disabilities and applicants with pregnancy-, childbirth-, or related medical-condition limitations