Revenue Specialist

Summary

Join EnableComp, a top workplace recognized by the Tennessean, as a Revenue Specialist – Veteran’s Administration. You will serve as a liaison between clients and the VA, handling sensitive patient health information. Key responsibilities include analyzing VA claim payments, researching and acquiring necessary medical records, following up with payers, and preparing billing packets or appeal letters. This role requires experience in healthcare billing, collections, and VA billing specifically. Strong analytical, problem-solving, and communication skills are essential. EnableComp offers a supportive and growth-oriented work environment, valuing its employees and their professional development.

Requirements

• 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)
• Equivalent combination of education and experience will be considered
• Regular and predictable attendance

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

Preferred Qualifications

• Associates or Bachelor’s Degree preferred
• Other complex claims experience a plus
• Practices and adheres to EnableComp’s Core Values, Vision and Mission
• Proven ability to meet and/or exceed productivity targets and goals
• Maintains stable performance under pressure or opposition.  Handles stress in ways to maintain relationships with all stakeholders
• 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

Benefits

• EnableComp recruits, develops and retains the industry's top talent
• We believe that investing in our employees is the key to our success , and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here