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EnableComp · 1 week ago

Revenue Specialist, Worker's Compensation

Franklin, TN

Full-time

Onsite

Entry Level

1+ years exp

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, and they are seeking a Revenue Specialist to act as a liaison between key client contacts and insurance companies. The role involves analyzing worker’s compensation claim payments, acquiring necessary documentation, and ensuring prompt reimbursement from payers.

Health CareHospitalInformation Technology

Responsibilities

Analyze and evaluate worker’s compensation claim payments using EnableComp’s proprietary software, systems and tools. Use payment documentation provided by payers to determine if the medical provider has been reimbursed in compliance with the applicable state worker’s compensation fee schedule and/or PPO contract

Research, request and acquire all pertinent medical records, implant manufacturer’s invoices and any other supporting documentation necessary 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 ensure claims with supporting documentation have been received and facilitate prompt reimbursement

Prepare correct Workers’ Comp initial bill packet or appeal letter using EnableComp systems tools and submit with all necessary supporting documentation to insurance companies

Other duties as required

Qualification

Workers' compensation billingHealthcare billing experienceInsurance claims processingCustomer service experienceComputer proficiencyAnalytical skillsProblem solving skillsCommunication skillsSelf-starterTime management