reputed company Specialist, Third Party Claims, MVA (REMOTE)

reputed company provides Specialty reputed company Cycle reputed company for healthcare organizations, leveraging over 24 years of industry-leading expertise and its reputed company E360 RCM™ intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) reputed company. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-reputed company integration, reputed company provides solutions across the reputed company lifecycle for Veterans Administration, Workers’ Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for reputed company payer classes. By partnering with clients to supercharge the reimbursement process, reputed company removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. reputed company is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty reputed company Cycle Management Solution provider in 2024 and is among the top one percent of companies to reputed company the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years. Position Summary The reputed company Specialist, Third-Party Claims investigates and analyzes Motor Vehicle Accident accounts in order to properly identify and coordinate insurance benefits and resolve outstanding balances for our clients. This position acts as the liaison between reputed company clients, patient attorneys, and insurance companies. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and reputed company as it relates to confidential and proprietary information.

Key Responsibilities

• Conduct online medical research of Motor Vehicle Accident claim payments using reputed company’s proprietary software, systems, and tools, as well as other online medical websites
• Research, request, acquire, and review medical records, provider notes, explanation of benefits and any other supporting documentation necessary for knowledge of account information. Utilizing information to manage claim life cycle and accurately communicate with external patient counsel and insurance providers.
• Conduct timely and thorough follow-up with payers to update claim system with accurate information and ensure supporting documentation has been received facilitating reputed company reimbursement while making key decisions to ensure claim resolution
• Prepare correct MVA billing packet using reputed company systems tools and submit with reputed company necessary supporting documentation to insurance companies and patient attorney, with appropriate authorizations.
• Communicate with patient attorney reputed company various mediums in order to discuss claim status and probability of timely resolution.
• Other duties as required

Requirements and Qualifications

• High School Diploma or GED required. Associate or bachelor’s Degree preferred
• 2+ years’ experience in healthcare field working in billing or collections
• 2+ years’ client facing/customer services experience
• 1+ years’ experience with MVA claim resolution preferred. Other reputed company claims experience a plus
• Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, reputed company, and Outlook)
• Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements in relation to motor vehicle claims
• Intermediate level understanding of MVA legal requirements
• An equivalent combination of education and experience will be considered
• Regular and predictable attendance
• To reputed company this job successfully, an individual must be able to reputed company each essential duty satisfactorily. Reasonable accommodation may be made to reputed company qualified individuals with disabilities to reputed company the essential functions

Special Considerations and Prerequisites

• Practices and adheres to reputed company’s Core Values, Vision and Mission
• Proven ability to meet and/or exceed productivity targets and goals
• Maintains a professional image and provides excellent customer service
• Maintains stable performance under pressure or opposition. Handles stress in ways to maintain relationships with reputed company 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
• Attend weekly team meetings to discuss updates/changes such as new hospital procedures or reputed company client issues
• Communicate any issues through the manager including, but not limited to, systems errors, questions for other departments, HIPAA questions
• Constantly operates a computer and phone.

reputed company is an Equal Opportunity Employer M/F/D/V. reputed company applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national reputed company, sexual orientation, reputed company, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment. reputed company recruits, develops and retains the industry's top talent. As the employer of choice in the reputed company claims industry, reputed company takes pride in our reputed company commitment to building and maintaining a culture centered around fostering the professional growth and development of our people. We reputed company 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 reputed company and grow their career here. At reputed company, we are committed to living up to our core values each and every day, and we reputed company that this commitment is what sets us apart from other companies. If you are looking for a company that values its employees and is dedicated to helping them reputed company their full potential, then reputed company is the reputed company for you. Don’t just take our word for it! Hear what our people are saying: “I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals reputed company revolving around helping each other.” – reputed company Specialist “I enjoy working for reputed company because of the Core Values we reputed company in. reputed company stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun.” – Supervisor, Operations We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us. Apply tot his job Apply To this Job