Workers' Compensation Revenue Specialist

Job Summary

A company is looking for a Revenue Specialist, WC.

Key Responsibilities

• Analyze and evaluate worker's compensation claim payments for compliance with applicable fee schedules and contracts
• Research and acquire necessary medical records and documentation to support hospital claims for insurance reimbursement
• Conduct follow-up with payers to ensure timely claims processing and reimbursement

Requirements and Qualifications

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