[Remote] MVA (Motor Vehicle Accident) Claims Analyst

Note: The job is a remote job and is open to candidates in USA. Transcend Health Solutions, LLC is seeking an experienced and detail-oriented MVA Claims Analyst to join their team. This role involves managing medical claims related to motor vehicle accidents, ensuring accurate billing and reimbursement while navigating complex insurance requirements. Responsibilities • Review and process medical claims related to motor vehicle accidents for submission to third-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 healthcare providers, insurance companies, patients, and legal representatives to resolve claims efficiently • 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 complex 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 • Uphold 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 mindset • Excellent oral communication skills with a customer service-oriented approach • Proven track 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 Microsoft 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 revenue cycle practices Company Overview • Transcend Health Solutions specializes in revenue 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 Apply tot his job