Revenue Specialist, MVA

EnableComp • Franklin, TN

2d

About The Position

The Revenue Specialist, MVA investigates and analyzes accounts to identify and coordinate insurance benefits and resolve outstanding balances for clients. The role works closely with patients and insurance carriers until claims have been reprocessed and payment has been issued. It involves researching Motor Vehicle Accident claim payments, acquiring and reviewing supporting documentation, preparing claim packets and appeal letters, and following up with payers to support accurate and timely reimbursement. The specialist is expected to meet departmental performance and production targets, adapt to changing priorities, and contribute to collaborative teamwork and a positive, client-first culture.

Requirements

• High school diploma or GED required.
• 2–4+ years of experience in the healthcare field working in billing or collections.
• At least 2 years of client-facing or customer service experience.
• At least 1 year of experience with MVA billing and collections.
• Intermediate understanding of insurance payer/provider claims processing and related data requirements.
• Intermediate understanding of MVA legal requirements.
• Strong interpersonal and communication skills, including the ability to collaborate with team members and cross-functional teams.
• Strong computer proficiency and ability to use basic office applications, including Microsoft Word, Excel, and Outlook.
• Ability to perform each essential duty satisfactorily; reasonable accommodation may be made for qualified individuals with disabilities.
• Regular and predictable attendance.
• Ability to meet and/or exceed productivity targets and goals.
• Ability to maintain stable performance under pressure and handle stress while maintaining stakeholder relationships.
• Ability to work independently without direct supervision.
• Proven written and verbal communication skills.
• Strong analytical and problem-solving skills.
• Proven experience working with external clients, with strong customer service skills and business acumen.

Nice To Haves

• Associate's or bachelor's degree.
• Experience with other complex claims.

Responsibilities

• Conduct online medical research of Motor Vehicle Accident claim payments using EnableComp's proprietary software, systems, tools, and other online medical websites.
• Research, request, acquire, and review medical records, provider notes, explanations of benefits, and other supporting documentation needed to understand appeals or account information; submit documentation with hospital claims to insurance companies to support correct reimbursement.
• Conduct timely and thorough telephone follow-up with payers, update claim systems with accurate information, confirm receipt of supporting documentation, and facilitate prompt reimbursement.
• Prepare accurate MVA initial bill packets or appeal letters using EnableComp systems and tools, and submit them with necessary supporting documentation to insurance companies.
• Collaborate with teammates, contribute to continuous improvement and a client-first approach, and support a positive team culture.
• Accept and apply feedback to build proficiency and adapt to changes in processes, priorities, and organizational needs.
• Meet established departmental performance and production targets, completing work accurately and efficiently.
• Attend weekly team meetings to discuss updates and changes, including new hospital procedures and current client issues.
• Communicate issues to the manager, including systems errors, questions for other departments, and HIPAA questions.
• Stay current on state laws governing fee schedules, filing limits, and other statutes.
• Perform other duties as required.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED