Revenue Specialist, VA

United States

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Not SpecifiedCompensation

Entry Level & New GradExperience Level

Full TimeJob Type

UnknownVisa

Healthcare, Revenue Cycle ManagementIndustries

Requirements

A High School Diploma or GED is required, with an Associate's or Bachelor's Degree preferred. Candidates need 2-4+ years of experience in healthcare billing or collections, and 2+ years of client-facing customer service experience. At least 1 year of experience with VA billing and collections is mandatory. An intermediate understanding of insurance payer/provider claims processing, data requirements, and government/veteran benefit programs is necessary. Strong computer proficiency with MS Office (Word, Excel, Outlook) is essential. An equivalent combination of education and experience will be considered. Proven ability to meet productivity targets, maintain stable performance under pressure, and communicate effectively both verbally and in writing are also required.

Responsibilities

The Revenue Specialist will act as the liaison between clients and the VA, handling patient health information with extreme privacy and security. Key duties include analyzing VA claim payments using proprietary software to ensure compliance with state fee schedules, researching and submitting medical records and supporting documentation to the VA or TriWest for prompt reimbursement, and conducting telephone follow-ups with payers. The role also involves preparing correct VA initial bill packets or appeal letters with necessary documentation for submission to insurance companies. Other duties as required will be performed, maintaining adherence to EnableComp's Core Values, Vision, and Mission.

Skills

Revenue Cycle Management

Veterans Administration claims

PHI handling

Claim analysis

Medical records research

EnableComp's proprietary software

EnableComp

Maximizes revenue from workers' compensation claims

About EnableComp

EnableComp focuses on helping healthcare providers maximize revenue from complex workers' compensation claims, which are often difficult to manage. The company simplifies this process by using a combination of clinical expertise, data analytics, managed care, and proprietary technology. Their main product, Enforcer, is a software that streamlines the management of these claims, allowing healthcare providers to concentrate on their core operations while EnableComp handles the billing and collections. Unlike competitors, EnableComp operates on an outsourcing model, taking over the claims management process for healthcare providers, which saves them time and resources. The goal of EnableComp is to ensure that their clients receive the highest possible reimbursement from workers' compensation claims.

Franklin, TexasHeadquarters

2000Year Founded

$5.3MTotal Funding

MERGERCompany Stage

Data & Analytics, Consulting, HealthcareIndustries

201-500Employees

Benefits

Flexible Work Hours

Professional Development Budget

Unlimited Paid Time Off

Risks

Emerging RCM technology companies may erode EnableComp's market share with competitive solutions.

Labor shortages in healthcare could impact EnableComp's service delivery and client satisfaction.

Frank Forte's appointment as CEO may lead to strategic shifts, risking client retention.

Differentiation

EnableComp specializes in complex workers' compensation claims management for healthcare providers.

Their proprietary software, Enforcer, enhances efficiency in claims processing and collections.

EnableComp's outsourcing model allows healthcare providers to focus on core operations.

Upsides

Increased AI adoption enhances EnableComp's claims processing and denial management efficiency.

RPA integration in billing offers automation opportunities, improving accuracy for EnableComp.

Healthcare providers' outsourcing trend aligns with EnableComp's business model, boosting partnerships.

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