Revenue Specialist, First Party Billing, MVA
EnableComp
- Location
- Franklin, TN
- Work style
- Remote only
- Job type
- Full time
- Posted
- Oct 2
- 18 days ago
Career path
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About the company
EnableComp
Hospital & health care · 501 to 1,000 employees
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM™ intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers’ Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years.
What you'll do
- Conduct online medical research of Motor Vehicle Accident claim payments using EnableComp’s proprietary software, systems and tools, as well as other online medical websites.
- Research, request, acquire, and review medical records, provider notes, explanation of benefits and any other supporting documentation necessary, and then submit hospital claims to insurance companies to ensure prompt correct claims reimbursement.
- Conduct timely and thorough follow-up with payers to update claim system with accurate information and ensure supporting documentation has been received facilitating prompt reimbursement while making key decisions to ensure claim resolution.
- Prepare correct MVA billing packet using EnableComp systems tools and submit with all necessary supporting documentation to insurance companies.
- Communicate with patients or insurance adjusters via various mediums in order to discuss claim status and probability of timely resolution.
- Review and understand payer EOBs to determine appropriate actions with claim balance after auto insurance claim resolution
- Other duties as required.
What you need
- 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.
- Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook).
- Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements in relation to MVA and first party auto claims.
- An equivalent combination of education and experience will be considered.
- Regular and predictable attendance.
- To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions.
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