Tennessee Licensed Revenue Specialist

Job Summary

To support a growing team, the full-time Tennessee Licensed Revenue Specialist will analyze worker's compensation claim payments, research and submit necessary documentation for claims reimbursement, and conduct follow-ups with payers, all while working remotely.

Key Responsibilities

• Analyze and evaluate worker's compensation claim payments using proprietary software to ensure compliance with fee schedules and contracts
• Research and acquire necessary medical records and documentation to submit with hospital claims for prompt reimbursement
• Conduct timely follow-ups with payers to ensure claims have been received and facilitate prompt reimbursement

Required Qualifications

• High School Diploma or GED required; Associates or Bachelor's Degree preferred
• 1-2+ years' experience in healthcare billing or collections
• 1+ years' client-facing/customer service experience
• 1+ years' experience with workers' compensation billing and collections preferred
• Intermediate understanding of insurance payer/provider claims processing