EnableComp · 5 hours ago
Revenue Specialist, Veterans Administration Physician Billing
Franklin, TN
Full-time
Remote
Entry, Mid Level
2+ years exp
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Responsibilities
Analyze and evaluate Veterans Administration (VA) 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 fee schedule.
Research, request and acquire all pertinent medical records and any other supporting documentation necessary and then submit with hospital claims to the Veterans Administration or TriWest 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 Veterans Administration 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
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Required
High School Diploma or GED required.
2-4+ years’ experience in healthcare field working in billing or collections.
2+ years’ client facing/customer services experience.
1+ years’ experience with VA billing and collections required.
Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements.
Intermediate level understanding of government and veteran benefit programs.
Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook).
Regular and predictable attendance.
Proven ability to meet and/or exceed productivity targets and goals.
Maintains stable performance under pressure or opposition.
Must be a self-starter and able to work independently without direct supervision.
Proven written and verbal communication skills.
Strong analytical and problem-solving skills.
Proven experience working with external clients; strong customer service skills and business acumen.
Ability to prioritize and manage multiple competing priorities and projects concurrently.
Must be able to remain in stationary position 50% of the time.
Occasionally moves about inside the office to access office equipment, etc.
Constantly operates a computer and other office equipment such as a copy/scan/print machine, phone and computer.
Preferred
Associates or Bachelor’s Degree preferred.
Other complex claims experience a plus.
Equivalent combination of education and experience will be considered.
Company
EnableComp
EnableComp is a provider of work comp reimbursement solutions.
501-1,000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Primus Capital Partners
2022-07-11Series Unknown· undefined
2017-08-07Series Unknown· undefined
Leadership Team
Christa Miller
Chief Financial Officer
Hamilton Bowman
President & Chief Operating Officer
Recent News
2024-11-19
Company data provided by crunchbase
