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Revenue Specialist, First Party Billing
EnableComp. Investigate and analyze Motor Vehicle Accident accounts to identify and coordinate insurance benefits and resolve outstanding client balances .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Motor Vehicle Accident claim resolution, including the ability to analyze accounts, coordinate insurance benefits, and manage patient health information while ensuring compliance with privacy standards. Proficient in utilizing medical billing software and maintaining effective communication with patients and insurance carriers.
Highest-signal resume keywords
MVA Claim ResolutionHealthcare Billing ExperienceInsurance Claims ProcessingMS Office ProficiencyAnalytical Problem-Solving
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
MVA Claim AnalysisInsurance Benefit CoordinationMedical Record ReviewHospital Claims SubmissionData Requirements Understanding
Soft Skills
Customer ServiceCommunication SkillsStress ManagementSelf-StarterAttention to Detail
Tools & Technologies
EnableComp SoftwareMedical Websites
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Patient Health InformationFirst-Party ClaimsEOB ReviewBilling PacketsProductivity Targets
About the role
Key responsibilities & impact- Investigate and analyze Motor Vehicle Accident accounts to identify and coordinate insurance benefits and resolve outstanding client balances
- Work closely with patients and insurance carriers until first-party claims are processed and resolved
- Handle patient health information (PHI) while maintaining strict privacy and security of confidential and proprietary information
- Conduct online medical research of MVA claim payments using EnableComp’s proprietary software, systems, tools, and other medical websites
- Research, request, acquire, and review medical records, provider notes, explanations of benefits, and supporting documentation
- Submit hospital claims to insurance companies to ensure prompt and accurate reimbursement
- Follow up with payers to update claim systems accurately and verify receipt of supporting documentation
- Make key decisions to facilitate claim resolution
- Prepare accurate MVA billing packets and submit them with required documentation
- Communicate with patients and insurance adjusters regarding claim status and timely resolution prospects
- Review payer EOBs and determine appropriate actions for claim balances after auto insurance claim resolution
- Perform other duties as required
Requirements
What you’ll need- High School Diploma or GED required
- Associate or bachelor’s Degree preferred
- 2+ years’ experience in healthcare field working in billing or collections
- 1+ years’ experience with MVA claim resolution preferred
- Strong computer proficiency
- Basic office applications, including MS Office (Word, Excel, and Outlook)
- Intermediate understanding of insurance payer/provider claims processing and related data requirements for MVA and first party auto claims
- An equivalent combination of education and experience will be considered
- Regular and predictable attendance
- Ability to perform each essential duty satisfactorily
- Proven ability to meet and/or exceed productivity targets and goals
- Professional image and excellent customer service
- Ability to maintain stable performance under pressure or opposition
- Ability to handle stress while maintaining stakeholder relationships
- Self-starter able to work independently without direct supervision
- Proven written and verbal communication skills
- Strong analytical and problem-solving skills
Benefits
Comp & perks- Full-time employment
- Professional growth and development opportunities
- Tools, resources, and support for career growth
- Flexible, family-oriented workplace
- Work-life balance support
- Equal opportunity employment