EnableComp
EnableComp
501 – 1 000 Қызметкерлер
КонсалтингЛогистикаСақтандыру
EnableComp Америка Құрама Штаттарындағы медициналық қызмет көрсетушілер мен денсаулық сақтау жүйелеріне медициналық қызметтер кірісінің айналымын басқару бойынша қызмет көрсетеді. Компанияның жұмысы Ардагерлер істері басқармасына, жұмысшылардың өтемақысына, көлік оқиғаларына және штаттан тыс Medicaid бағдарламасына қатысты күрделі талаптарды, сондай-ақ төлеушілердің әртүрлі санаттары бойынша қабылданбаған талаптарды басқаруды қамтиды. EnableComp зияткерлік автоматтандыру мен өзінің E360 RCM™ платформасын пайдаланып, есеп айырысуды тиімді жүргізуге, өтемақыны дәл алуға және өндіріп алуды күшейтуге қолдау көрсетеді. Жұмыс іздеушілер үшін компания профилі денсаулық сақтау операцияларына, талаптарға, кіріс айналымын басқаруға, есеп айырысу технологияларына және клиенттерге қызмет көрсетуге байланысты рөлдерге көбірек сәйкес келеді.

Revenue Specialist, First-Party Billing (Remote - Tennessee)

Manage Motor Vehicle Accident accounts and coordinate first-party insurance reimbursement for EnableComp’s healthcare revenue-cycle services. The role covers claims, documentation, payer follow-up, and communication with patients and insurance representatives.

Сипаттама

  • Analyze Motor Vehicle Accident accounts to coordinate insurance benefits and resolve unpaid client balances
  • Work with patients and insurers through the processing and resolution of first-party claims
  • Protect patient health information and maintain the confidentiality and security of proprietary data
  • Research MVA claim payments online using EnableComp systems, proprietary tools, and relevant medical websites
  • Request, obtain, and evaluate medical records, provider notes, explanations of benefits, and related evidence
  • File hospital claims with insurers to support timely and accurate reimbursement
  • Update payer claim systems and confirm that supporting documents have been received
  • Use sound judgment to advance claims toward resolution
  • Assemble accurate MVA billing packets and submit all required records
  • Update patients and insurance adjusters on claim progress and expected resolution timelines
  • Evaluate payer explanations of benefits and determine next steps for balances after auto claims are resolved
  • Complete additional duties as assigned

Талаптар

  • High school diploma or GED is required
  • An associate or bachelor’s degree is preferred
  • At least two years of healthcare billing or collections experience
  • At least one year of MVA claim resolution experience is preferred
  • Strong computer skills
  • Working knowledge of Microsoft Word, Excel, Outlook, and other standard office applications
  • Intermediate knowledge of insurance payer and provider claims processing, including data requirements for MVA and first-party auto claims
  • Equivalent combinations of education and experience may be considered
  • Consistent and dependable attendance
  • Ability to perform all essential responsibilities satisfactorily
  • Demonstrated record of meeting or exceeding productivity goals
  • Professional presentation and strong customer service skills
  • Ability to maintain consistent performance when facing pressure or resistance
  • Ability to manage stress while preserving effective stakeholder relationships
  • Self-directed approach with the ability to work independently
  • Strong written and verbal communication abilities
  • Effective analytical and problem-solving skills

Артықшылықтар

  • Full-time position
  • Opportunities for professional development and advancement
  • Career development resources, tools, and support
  • Flexible workplace with a family-oriented culture
  • Support for maintaining work-life balance
  • Equal opportunity employment

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