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MVA/Third Party Liability Resolution Specialist I
Revco Solutions. Review potential MVA/TPL accounts and determine whether they meet program and scope requirements .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare revenue cycle management, including MVA/TPL claims processing, medical billing, and insurance follow-up. Proficient in maintaining accurate documentation and communication with various stakeholders to ensure timely reimbursement and compliance with regulatory standards.
Highest-signal resume keywords
Healthcare Revenue Cycle ManagementMVA/TPL Claims ProcessingMedical BillingInsurance Follow-UpStrong Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims AdministrationBillingReimbursement ProcessesAccount ManagementCoding ReviewDocument PreparationPayment ResolutionFollow-Up ActivitiesAttention to DetailOrganizational Skills
Soft Skills
Professional CommunicationStrong Written CommunicationStrong Verbal CommunicationFollow-Up SkillsAbility to Manage Competing Priorities
Tools & Technologies
EHR SystemsEPICCernerMeditechCRXISRevco Account Management Systems
Industry Keywords
MVATPLWorkers' CompensationBodily Injury ClaimsSubrogationMedical LiensHIPAA ComplianceRegulatory RequirementsHealthcare BillingInsurance Claims
About the role
Key responsibilities & impact- Review potential MVA/TPL accounts and determine whether they meet program and scope requirements
- Review registration, diagnosis, accident, insurance, clinical, billing, and account information to validate MVA/TPL status
- Investigate accident details, responsible parties, insurance carriers, claim numbers, attorney representation, and reimbursement sources
- Communicate with patients, insurance carriers, claims adjusters, attorneys, and other involved parties
- Confirm claims have been submitted and perform follow-up, resubmission, and supporting-documentation activities
- Prepare and submit claim documentation, including itemized statements, medical records, accident information, and other materials
- Identify accounts requiring corrected claims, demographic or insurance updates, coding review, or client-system corrections and route requests
- Prepare, submit, document, and track hospital liens
- Monitor lien status, notices, documentation requirements, follow-up dates, and settlement activity
- Maintain follow-up with liability carriers, attorneys, patients, and other responsible parties regarding claim status and reimbursement
- Resolve routine payment, billing, documentation, and claim-processing issues
- Escalate disputed, delayed, underpaid, complex, or unusual accounts to a Level II Specialist or leadership
- Review payments, adjustments, account balances, demographic changes, and account updates
- Maintain complete documentation of investigations, claim activity, communications, lien activity, payments, and final account disposition
- Use EHR, payer and carrier resources, client systems, and Revco account-management systems to research assigned accounts
- Prioritize daily workload and identify recurring account issues or barriers for leadership
- Participate in training and ongoing development related to MVA/TPL claims, hospital liens, and healthcare reimbursement
- Perform other duties and special projects as assigned
Requirements
What you’ll need- 1–3 years of experience in healthcare revenue cycle, medical billing, insurance follow-up, claims administration, MVA/TPL, workers' compensation, bodily injury claims, subrogation, medical liens, or a related environment preferred
- Previous hospital or provider-side revenue cycle experience preferred
- Familiarity with insurance claims, healthcare billing, payments, adjustments, and reimbursement processes
- MVA/TPL or liability claims experience strongly preferred, or relevant healthcare or insurance claims experience
- Ability to research account information, identify missing information, and follow established processes through resolution
- Ability to communicate professionally with patients, attorneys, claims adjusters, insurance carriers, clients, and internal departments
- Strong written and verbal communication skills
- Strong organizational and follow-up skills
- Demonstrated attention to detail and accurate account documentation
- Ability to manage multiple accounts and competing priorities
- Experience with EPIC, Cerner, Meditech, CRXIS, or comparable patient accounting/account-management systems preferred but not required
- Compliance with HIPAA, regulatory requirements, client requirements, and company policies and procedures
Benefits
Comp & perks- Equal employment opportunity commitment
- Reasonable accommodations during the application and hiring process for qualified individuals with disabilities and applicants with pregnancy-, childbirth-, or related medical-condition limitations