Revenue Specialist, Third Party Auto, MVA (Healthcare RCM)

TL;DR

Revenue Specialist (Healthcare RCM): Investigating and analyzing Motor Vehicle Accident (MVA) accounts to coordinate insurance benefits and resolve outstanding balances with an accent on medical research and claim lifecycle management. Focus on coordinating between clients, patient attorneys, and insurance providers to ensure prompt reimbursement.

Location: Remote (United States)

Company

hirify.global provides Specialty Revenue Cycle Management solutions using the E360 RCM™ intelligent automation platform to improve financial sustainability for healthcare organizations.

What you will do

• Conduct online medical research of MVA claim payments using proprietary software and medical websites.
• Acquire and review medical records and provider notes to manage the claim lifecycle.
• Follow up with payers to update claim systems and facilitate prompt reimbursement.
• Prepare and submit MVA billing packets to insurance companies and patient attorneys.
• Liaise with patient attorneys to discuss claim status and resolution probability.

Requirements

• High School Diploma or GED (Associate or Bachelor’s degree preferred).
• 2+ years of experience in healthcare billing or collections.
• 2+ years of client-facing or customer service experience.
• Proficiency in MS Office (Word, Excel, Outlook).
• Understanding of insurance payer/provider claims processing for motor vehicle claims.
• Must be based in the United States.

Nice to have

• 1+ years of experience with MVA claim resolution.
• Experience with other complex healthcare claims.

Culture & Benefits

• Multi-year recipient of the Top Workplaces award.
• Culture centered on fostering professional growth and employee development.
• Family-oriented and flexible work environment.
• Strong commitment to work-life balance and employee support.

Hiring process

• Application review and resume analysis may be supported by AI tools.
• Final hiring decisions are made exclusively by humans.