Medical Billing Specialist

The Medical Billing/Revenue Specialist 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 include analyzing and evaluating Veterans Administration (VA) claim payments using EnableComp’s proprietary software, systems and tools and using payment documentation provided by payers to determine if the medical provider has been reimbursed in compliance with the applicable state fee schedule. Researching, requesting and acquiring all pertinent medical records and any other supporting documentation necessary and then submitting with hospital claims to the Veterans Administration to ensure prompt correct claims reimbursement is also a key responsibility. Conducting timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate prompt reimbursement and preparing correct Veterans Administration initial bill packet or appeal letter using EnableComp systems tools and submit with all necessary supporting documentation to insurance companies.