Revenue Specialist, MVA

THE JOB RESPONSIBILITIES INCLUDE

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 for knowledge of appeal or account information, and then submit with hospital claims to insurance companies to ensure prompt correct claims reimbursement.
Conduct timely and thorough telephone follow-up with payers to update claim system with accurate information and ensure supporting documentation has been received and facilitate prompt reimbursement.
Prepare correct MVA initial bill packet or appeal letter using EnableComp systems tools and submit with all necessary supporting documentation to insurance companies.
Delivers excellent outcomes through collaborative teamwork, continuous improvement, and a client-first approach—while contributing to an engaging, positive team culture
Ability to accept and apply feedback to build proficiency in all responsibilities listed and adapt to changes in processes, priorities, and organizational needs.
Achieves all established departmental performance and production targets, ensuring work is completed accurately and meets departmental expectations for output and efficiency.
Other duties as required.

REQUIREMENTS AND QUALIFICATIONS

High School Diploma or GED required.  Associates or Bachelor’s Degree preferred.
2-4+ years’ experience in healthcare field working in billing or collections.
2+ years’ client facing/customer services experience.
1+ years’ experience with MVA billing and collections required. Other complex claims experience a plus.
Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements.
Intermediate level understanding of MVA legal requirements.
Strong interpersonal and communication skills, with the ability to collaborate effectively with team members and cross-functional teams.
• Equivalent combination of education and experience will be considered
• Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook)
• 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.
• Regular and predictable attendance

SPECIAL CONSIDERATIONS & PREREQUISITES

• Practices and adheres to EnableComp’s Core Values, Vision and Mission
• Proven ability to meet and/or exceed productivity targets and goals.
• Maintains stable performance under pressure or opposition.  Handles stress in ways to maintain relationships with all stakeholders.
• Must be a self-starter and 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.
• Attend weekly team meetings to discuss updates/changes such as new hospital procedures or current client issues
• Communicate any issues through the manager including, but not limited to, systems errors, questions for other departments, HIPAA questions.
• Stay up to date on state laws governing fee schedules, filing limits, and other statutes
• Must be able to remain in stationary position 50% of the time
• If working onsite, may occasionally move about inside the office to access office equipment, etc.
• Constantly operates a computer and other office equipment