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EnableComp
EnableComp
501 – 1.000 Angajați
AsigurăriConsultanțăLogistică
EnableComp oferă servicii de gestionare a ciclului veniturilor din domeniul sănătății pentru furnizori și sisteme de sănătate din întreaga SUA. Activitatea sa se concentrează pe cereri complexe care implică Administrația pentru Veterani, despăgubirea lucrătorilor, accidentele auto și Medicaid din alte state, precum și pe gestionarea refuzurilor în cazul diferitelor categorii de plătitori. Prin automatizare inteligentă și platforma proprietară E360 RCM™, EnableComp sprijină o facturare mai eficientă, rambursări exacte și colectări mai consistente. Pentru persoanele aflate în căutarea unui loc de muncă, profilul companiei este relevant în special pentru roluri legate de operațiunile din domeniul sănătății, cereri, gestionarea ciclului veniturilor, tehnologia de facturare și serviciile pentru clienți.
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Locurile de muncă ale companiei

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.

USStatele Unite ale AmericiiTNTennesseeRemoteNormă întreagăJuniorNivel mediuNu este necesară o diplomăLimbă Obligatorie: englezăGeneralSpecialist în facturare

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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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