Join a growing, dynamic team focused on supporting patients and resolving complex motor vehicle and health insurance claims.
This role is responsible for managing a queue of hospital accounts, including facility and physician bills, and working them through coverage investigation, payer communication, appeals, and final resolution. The position requires strong multitasking, prioritization, and professional communication skills when interacting with auto payers, health payers, and attorneys.
The role is remote and requires a dedicated, distraction-free workspace at home.
Key Responsibilities
- Resolve motor vehicle and health insurance claims from a variety of hospital providers
- Manage an inventory of accounts in a team-based environment
- Work new, priority, aged, and high-dollar accounts according to client protocols
- Investigate coverage and identify accounts requiring review by coding and utilization teams
- Resolve accounts involving multiple payers, including PIP, Health, and TPL
- Prepare and submit appeals with required documentation
- Maintain clear and comprehensive account notes throughout the resolution process
- Communicate professionally with payer representatives, patients, and attorneys by phone
- Learn and implement client-specific protocols and procedures
- Identify payer resolution trends and share insights with peers
Qualifications
- High school diploma or GED
- 1 to 3 years of experience with MVA claims and health claims preferred
- Proven success collecting on hospital claims from insurance companies
- Experience reviewing EOBs for payment or denial reasons
- Proficiency with Microsoft Word and Excel preferred
- EPIC experience preferred
- Ability to work remotely from a dedicated, distraction-free workspace
Benefits
- Competitive benefits package
- Medical, dental, and vision insurance
- Life insurance
- Short-term disability
- Long-term disability
- Bonus opportunities
- Paid holidays
- 401(k)
- Generous PTO policy
Location
N/A
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago