Revenue Specialist, VA

📋 Description

• Analyze VA claim payments using EnableComp software and tools.
• Determine reimbursements align with state fee schedules using payer docs.
• Research and obtain medical records; submit with claims to VA/TriWest.
• Follow up with payers by phone to ensure receipt and prompt reimbursement.
• Prepare VA initial bill packets or appeal letters with documentation.
• Perform other duties as required.

🎯 Requirements

• High school diploma or GED required; associate/bachelor’s preferred.
• 2-4+ years healthcare billing or collections experience.
• 2+ years client-facing/customer service experience.
• 1+ year VA billing and collections experience; other claims a plus.
• Intermediate understanding of payer/provider claims processing.
• Intermediate knowledge of government and veteran benefit programs.
• Strong computer proficiency; MS Office (Word, Excel, Outlook).
• Equivalent education and experience considered.
• Regular and predictable attendance.
• Adheres to EnableComp Core Values, Vision and Mission.
• Meets/exceeds productivity targets and goals.
• Self-starter; works independently without supervision.
• Strong written and verbal communication skills.
• Analytical and problem-solving abilities.
• Experience with external clients; strong customer service and business acumen.
• Prioritize and manage multiple competing priorities.
• Remain stationary 50% of the time.
• Occasional moves inside the office.
• Operates computer and office equipment (copy/scan/print, phone).