Revenue Specialist First Party Auto MVA
WFA Digital Insight
As the demand for skilled revenue cycle management specialists continues to grow, with a notable 20% increase in job openings in the past year, professionals with expertise in handling complex claims are in high demand. EnableComp, a leading provider of Specialty Revenue Cycle Management solutions, is at the forefront of this trend. With their innovative E360 RCM platform and commitment to excellence, they are an attractive option for those looking to make a meaningful impact in the healthcare industry. Before applying, candidates should be aware of the importance of maintaining confidentiality and security when handling sensitive patient information, as well as the need for strong analytical and communication skills to succeed in this role.
Job Description
About the Role
The Revenue Specialist, First Party Auto, plays a critical role in EnableComp's mission to improve financial sustainability for healthcare organizations. This position is responsible for investigating and analyzing Motor Vehicle Accident accounts to properly identify and coordinate insurance benefits and resolve outstanding balances for clients. By working closely with patients, insurance carriers, and internal teams, the successful candidate will ensure timely and accurate reimbursement, enhancing the overall revenue cycle management process.Day-to-day responsibilities will include conducting thorough research using proprietary software and online medical websites, as well as reviewing and submitting hospital claims to insurance companies. This role requires a high level of attention to detail, strong analytical skills, and the ability to communicate effectively with various stakeholders.
EnableComp's commitment to innovation and customer satisfaction sets it apart in the industry. As a multi-year recipient of the Top Workplaces award and recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider, the company offers a dynamic and supportive work environment for professionals to grow and thrive.
What You Will Do
- Conduct online medical research of Motor Vehicle Accident claim payments using EnableComp's proprietary software, systems, and tools.
- Research, request, acquire, and review medical records, provider notes, explanation of benefits, and any other supporting documentation necessary for claim resolution.
- Submit hospital claims to insurance companies to ensure prompt and correct reimbursement.
- Conduct timely and thorough follow-up with payers to update the claim system with accurate information.
- Prepare correct MVA billing packets using EnableComp's systems and tools, and submit them with necessary supporting documentation to insurance companies.
- Communicate with patients or insurance adjusters via various mediums 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.
- Maintain extreme privacy and security as it relates to confidential and proprietary information, adhering to EnableComp's Core Values, Vision, and Mission.
What We Are Looking For
- High School Diploma or GED required; Associate or Bachelor's Degree preferred.
- 2+ years' experience in the healthcare field, working in billing or collections, with a focus on Motor Vehicle Accident claims resolution.
- Strong computer proficiency, including MS Office (Word, Excel, and Outlook), and the ability to learn proprietary software.
- Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements in relation to MVA and first party auto claims.
- Excellent analytical, communication, and problem-solving skills.
- Ability to work in a fast-paced environment, prioritizing multiple tasks and meeting deadlines.
- Regular and predictable attendance, with a willingness to adapt to changing priorities and processes.
Nice to Have
- Experience with Adjust and other revenue cycle management tools.
- Knowledge of medical billing and coding principles.
- Certification in medical billing or a related field.
Benefits and Perks
- Competitive salary and benefits package.
- Opportunity to work with a leading Specialty Revenue Cycle Management solutions provider.
- Collaborative and dynamic work environment.
- Professional development and growth opportunities.
- Flexible remote work arrangements.
- Access to cutting-edge technology and tools.
- Recognition and reward programs for outstanding performance.
- Comprehensive health insurance and wellness programs.
- Generous paid time off and holiday policy.
How to Stand Out
- Develop a strong understanding of Motor Vehicle Accident claims processing and related laws and regulations to stand out in your application.
- Showcase your analytical and problem-solving skills through specific examples in your resume and cover letter.
- Highlight any experience with revenue cycle management tools, such as Adjust, and be prepared to discuss how you can apply this knowledge in the role.
- Be prepared to discuss your approach to maintaining confidentiality and security when handling sensitive patient information during the interview process.
- Consider obtaining certifications in medical billing or related fields to enhance your qualifications and career prospects.
- Research EnableComp's culture and values to demonstrate your fit with the company's mission and vision.
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