Transcend Health Solutions, LLC · 1 week ago
MVA (Motor Vehicle Accident) Claims Analyst
United States
Full-time
Remote
Entry, Mid Level
$48K/yr - $55K/yr
2+ years expTranscend Health Solutions, LLC is seeking an experienced and detail-oriented MVA Claims Analyst to join their team. This role involves managing medical claims related to motor vehicle accidents, ensuring accurate billing and reimbursement while navigating complex insurance requirements.
Hospital & Health Care
Responsibilities
Review and process medical claims related to motor vehicle accidents for submission to third-party liability and first party carriers
Coordinate benefits with auto and health insurance plans, attorneys, and adjusters to ensure accurate billing and reimbursement
Verify auto insurance coverages and eligibility to determine appropriate payer responsibility
Investigate and resolve denials and underpayments through appeals, follow-up calls, and written correspondence
Interpret Explanation of Benefits (EOBs) and remittance advices to determine claim status and next steps
Communicate with healthcare providers, insurance companies, patients, and legal representatives to resolve claims efficiently
Ensure compliance with jurisdictional rules for submitting medical records and billing information
Maintain detailed documentation of claim activities for tracking and auditing purposes
Draft appeal letters and escalate complex issues to management as needed
Utilize medical terminology and coding accurately in claims processing
Demonstrate exceptional attendance and ability to work independently while meeting performance metrics
Uphold HIPAA guidelines and maintain confidentiality of sensitive information
Qualification
Required
In-depth knowledge of various auto insurance coverage types (PIP, MedPay, Bodily Injury, Liability)
Familiarity with medical billing terminology and proficient in interpreting EOBs
Strong written communication skills for preparing effective appeals and correspondence
Detail-oriented, analytical, and self-motivated mindset
Excellent oral communication skills with a customer service-oriented approach
Proven track record of punctuality and attendance
Ability to multitask and prioritize tasks in a fast-paced, deadline-driven environment
High School Diploma required; Bachelor's degree preferred or equivalent experience
Minimum of 2 years' experience in medical billing or claims processing, preferably in MVA or liability claims
Proficiency in Microsoft Office and experience with EHR or billing software
Preferred
Experience working with attorney liens or hospital lien statutes
Understanding of coordination of benefits (COB) and subrogation processes
Knowledge of state-specific MVA insurance regulations and claims procedures
Familiarity with hospital revenue cycle practices
Company
Transcend Health Solutions, LLC
Transcend Health Solutions specializes in revenue cycle management (RCM) services.
11-50 employees
Funding
Current Stage
Early StageLeadership Team
W. Charles Day
Chief Executive Officer
Stephen Ingram
Chief Technology Officer
Company data provided by crunchbase