Revenue Specialist, VA (REMOTE)

EnableComp; United States; Remote; USD 86,000 - 101,000; Full time

Job summary

A leading healthcare revenue cycle management company seeks a Revenue Specialist for the Veterans Administration. This role entails managing claim submissions, ensuring adherence to privacy standards, and optimizing the reimbursement process. Ideal candidates will have solid experience in healthcare billing, particularly with VA claims, and possess strong analytical skills, made evident through collaboration with clients and stakeholders.

Benefits

Flexible work environment

Career development opportunities

Qualifications

• 2-4+ years’ experience in healthcare billing or collections required.
• Strong understanding of insurance claims processing.
• Experience with VA billing preferred.

Responsibilities

• Analyze VA claim payments and ensure compliance with state fee schedule.
• Request and submit all supporting documentation for claims.
• Conduct follow-ups with payers for prompt reimbursements.

Skills

Analytical skills

Problem-solving skills

Customer service skills

Education

High School Diploma or GED

Associates 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, iterativeintelligence 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. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years.

Position Summary

The Revenue Specialist – Veteran’s Administration acts as the liaison between key client contacts and the VA. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information.

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, iterativeintelligence 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. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years.

Position Summary

The Revenue Specialist – Veteran’s Administration acts as the liaison between key client contacts and the VA. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information.

Key Responsibilities

• Analyze and evaluate Veterans Administration (VA) claim payments using EnableComp’s proprietary software, systems and tools. Use payment documentation provided by payers to determine if the medical provider has been reimbursed in compliance with the applicable state fee schedule
• Research, request and acquire all pertinent medical records and any other supporting documentation necessary and then submit with hospital claims to the Veterans Administration or TriWest to ensure prompt correct claims reimbursement
• Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate prompt reimbursement
• Prepare correct Veterans Administration initial bill packet or appeal letter using EnableComp systems tools and submit with all necessary supporting documentation to insurance companies
• Other duties as required
  

Requirements and Qualifications

• High School Diploma or GED required. Associates or Bachelor’s Degree preferred
• 2-4+ years’ experience in healthcare field working in billing or collections
• 2+ years’ client facing/customer services experience
• 1+ years’ experience with VA billing and collections required. Other complex claims experience a plus
• Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements
• Intermediate level understanding of government and veteran benefit programs
• Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook)
• Equivalent combination of education and experience will be considered
• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions
• Regular and predictable attendance
  

Special Considerations and Prerequisites

• Practices and adheres to EnableComp’s Core Values, Vision and Mission
• Proven ability to meet and/or exceed productivity targets and goals
• Maintains stable performance under pressure or opposition. Handles stress in ways to maintain relationships with all 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
• Ability to prioritize and manage multiple competing priorities and projects concurrently
• Must be able to remain in stationary position 50% of the time
• Occasionally moves about inside the office to access office equipment, etc
• Constantly operates a computer and other office equipment such as a copy/scan/print machine, phone and computer
  

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. At EnableComp, we are committed to living up to our core values each and every day, and we believe 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 achieve their full potential, then EnableComp is the place 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 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

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Accounting/Auditing and Finance

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at EnableComp by 2x

United States $86,000 - $101,000 2 weeks ago

United States $130,000 - $175,000 1 week ago

New York City Metropolitan Area 1 month ago

United States $140,000 - $160,000 4 months ago

Arlington, VA $125,000 - $175,000 2 weeks ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.