Revenue Specialist, Commerical Billing, MVA (REMOTE)
Core
Investigate and analyze Motor Vehicle Accident (MVA) accounts to identify insurance benefits and resolve outstanding balances for healthcare clients.
Role type
Commercial Billing Specialist (MVA)
Builds
Clean accounts receivable and resolved claims for hospitals, health systems, and ambulatory surgery centers.
Domain
Healthcare revenue cycle management / Motor Vehicle Accident claims
Deliverable
client delivery
Required skills
Medical records research, insurance claim resolution, payer communication, claim adjudication analysis, denial appeal filing, health insurance/GI claims processing, MVA legal requirements knowledge, EMR/Billing system proficiency
Preferred skills
Associate or bachelor's degree, client-facing/customer service experience
Technologies
EnableComp E360 RCM platform, MS Office (Word, Excel, Outlook), online medical websites
Responsibilities
Conduct online medical research of MVA and Health Insurance claims; Research, request, acquire, and review medical records and provider notes; Contact payers to resolve claims, rebill when necessary, and escalate issues; Review and resolve denied claims by submitting corrected claims and filing appeals; Communicate with patients, attorneys, and insurance companies to coordinate benefits; Analyze health insurance remittance to ensure proper adjudication and resolve underpayments; Identify and alert leadership of denial trends.
Seniority
Mid-level, hands-on IC