Revenue Specialist, Third Party Claims, MVA (REMOTE)

EnableComp; United States; On-site; USD 45,000 - 55,000; Full time

Job summary

A healthcare solutions provider is looking for a Revenue Specialist to manage Motor Vehicle Accident claims by analyzing accounts and coordinating benefits with insurance companies. The ideal candidate will have experience in billing and customer service, alongside strong analytical skills. This role requires excellent communication abilities and a commitment to maintaining patient confidentiality. Join a team dedicated to improving financial sustainability in healthcare with a supportive work environment and opportunities for professional growth.

Qualifications

• 2+ years’ experience in healthcare billing or collections.
• 1+ years’ experience with MVA claim resolution preferred.
• Regular and predictable attendance.

Responsibilities

• Investigate and analyze Motor Vehicle Accident accounts.
• Research and acquire necessary medical records and documents.
• Conduct timely follow-ups with payers.

Skills

Customer service skills

Analytical skills

Problem-solving skills

Computer proficiency

Education

High School Diploma or GED

Associate or Bachelor's degree

Tools

MS Office

Job description

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry‑leading expertise and its unified E360 RCM ™ intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iteration intelligence from 10M+ processed claims, and expert human‑in‑the‑loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers’ Compensation, Motor Vehicle Accidents, and Out‑of‑State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp 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.

Position Summary

The Revenue 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 EnableComp clients, patient attorneys, and insurance companies. It is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information.

Key Responsibilities

• Conduct online medical research of Motor Vehicle Accident claim payments using EnableComp’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; use this information to manage the claim life cycle and accurately communicate with external patient counsel and insurance providers.
• Conduct timely and thorough follow‑up with payers to update the claim system with accurate information and ensure supporting documentation has been received, facilitating prompt reimbursement while making key decisions to ensure claim resolution.
• Prepare correct MVA billing packet using EnableComp systems and tools and submit with all necessary supporting documentation to insurance companies and patient attorneys, with appropriate authorizations.
• Communicate with patient attorneys via 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 the healthcare field working in billing or collections.
• 2+ years’ client‑facing/customer services experience.
• 1+ years’ experience with MVA claim resolution preferred; other complex claims experience a plus.
• Strong computer proficiency and basic office application skills (MS Office).
• Intermediate level understanding of insurance payer/provider claims processing and related data requirements for motor vehicle claims.
• Intermediate level understanding of MVA legal requirements.
• Eligible equivalency of education and experience will be considered.
• Regular and predictable attendance.
• Ability to perform all essential duties; reasonable accommodation may be provided for qualified individuals with disabilities.

Special Considerations and Prerequisites

• Adheres to EnableComp’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; handles stress to maintain relationships with stakeholders.
• Self‑starter 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.
• Attends weekly team meetings to discuss updates/changes such as new hospital procedures or current client issues.
• Communicates any issues through the manager including, but not limited to, system errors, questions for other departments, HIPAA questions.
• Constantly operates a computer and phone.

Equal Opportunity Employer

EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, 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.

EnableComp recruits, develops and retains the industry's top talent. As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people. 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.

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 all revolving around helping each other.” – Revenue Specialist

“I enjoy working for EnableComp because of the Core Values we believe in. EnableComp 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.