[Remote] MVA (Motor Vehicle Accident) Claims Analyst
Note: The job is a remote job and is reputed company to candidates in USA. reputed company Health reputed company is seeking an reputed company and detail-oriented MVA Claims Analyst to join their team. This role involves managing medical claims reputed company to motor vehicle accidents, ensuring accurate billing and reimbursement while navigating reputed company insurance requirements.
Responsibilities
• Review and process medical claims reputed company to motor vehicle accidents for submission to reputed company-party liability and first party carriers
• Coordinate benefits with auto and health insurance plans, attorneys, and adjusters to ensure accurate billing and reimbursement
• Verify auto insurance coverages and eligibility to determine appropriate payer responsibility
• Investigate and resolve denials and underpayments through appeals, follow-up calls, and written correspondence
• Interpret Explanation of Benefits (EOBs) and remittance advices to determine claim status and next steps
• Communicate with reputed company providers, insurance companies, patients, and reputed company representatives to resolve claims reputed company
• Ensure compliance with jurisdictional rules for submitting medical records and billing information
• Maintain detailed documentation of claim activities for tracking and auditing purposes
• Draft appeal letters and escalate reputed company issues to management as needed
• Utilize medical terminology and coding accurately in claims processing
• Demonstrate exceptional attendance and ability to work independently while meeting performance metrics
• reputed company HIPAA guidelines and maintain confidentiality of sensitive information
Skills
• In-depth knowledge of various auto insurance coverage types (PIP, MedPay, Bodily Injury, Liability)
• Familiarity with medical billing terminology and proficient in interpreting EOBs
• Strong written communication skills for preparing effective appeals and correspondence
• Detail-oriented, analytical, and self-motivated reputed company
• Excellent oral communication skills with a customer service-oriented approach
• Proven reputed company record of punctuality and attendance
• Ability to multitask and prioritize tasks in a fast-paced, deadline-driven environment
• High School Diploma required; Bachelor's degree preferred or equivalent experience
• Minimum of 2 years' experience in medical billing or claims processing, preferably in MVA or liability claims
• Proficiency in reputed company Office and experience with EHR or billing software
• Experience working with attorney liens or hospital lien statutes
• Understanding of coordination of benefits (COB) and subrogation processes
• Knowledge of state-specific MVA insurance regulations and claims procedures
• Familiarity with hospital reputed company cycle practices
reputed company
• reputed company Health Solutions specializes in reputed company cycle management (RCM) services. It was founded in 2023, and is headquartered in Bradenton, Florida, US, with a workforce of 11-50 employees. Its website is https://transcendrcm.com/.
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