Revenue Specialist, VA (Healthcare)

TL;DR

Revenue Specialist, VA (Healthcare): Analyzing Veterans Administration claims and preparing supporting documentation to secure accurate reimbursement for healthcare providers with an accent on claims evaluation, medical-record research, and payer follow-up. Focus on resolving complex reimbursement issues, preparing initial bill packets and appeals, and maintaining strict privacy and security for protected health information.

Location: Remote within the United States; the listed location is Franklin, Tennessee.

Company

Healthcare revenue cycle management provider offering specialized claims and reimbursement solutions supported by an intelligent automation platform.

What you will do

• Analyze VA claim payments and payment documentation using proprietary systems and tools.
• Verify reimbursement against applicable state fee schedules and identify payment discrepancies.
• Research and obtain medical records and supporting documentation for VA and TriWest claims.
• Submit initial bill packets and appeal letters with complete documentation.
• Follow up with payers by phone to confirm receipt and facilitate timely reimbursement.
• Protect patient health information and maintain confidentiality throughout the claims process.

Requirements

• High school diploma or GED required; an associate or bachelor's degree is preferred.
• 2–4+ years of healthcare billing or collections experience.
• 2+ years of client-facing or customer service experience.
• At least 1 year of VA billing and collections experience required.
• Intermediate knowledge of payer and provider claims processing, government and veteran benefit programs, and related data requirements.
• Strong computer proficiency, written and verbal communication, analytical skills, and working knowledge of Microsoft Office.

Culture & Benefits

• Remote work arrangement for employees based in the United States.
• Culture focused on professional growth, cooperation, and shared goals.
• Support for employee development through tools, resources, and ongoing guidance.
• Emphasis on flexibility and work-life balance.
• Equal opportunity workplace committed to a discrimination- and harassment-free environment.