MVA (Motor Vehicle Accident) Claims Analyst Position Available In Manatee, Florida
Tallo's Job Summary: The MVA (Motor Vehicle Accident) Claims Analyst role at Transcend Health Solutions, LLC in Bradenton, Florida involves reviewing and processing medical claims related to motor vehicle accidents. Responsibilities include coordinating benefits with insurance plans, attorneys, and adjusters, verifying auto insurance coverages, resolving denials, and maintaining detailed documentation. Qualified candidates must have knowledge of auto insurance coverage types, medical billing terminology, and strong communication skills. This full-time position requires a minimum of 2 years of experience in medical billing or claims processing.
Job Description
MVA (Motor Vehicle Accident) Claims Analyst
Transcend Health Solutions, LLC
Bradenton, Florida
Key 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.________________________________________
Required Qualifications:
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; Bachelors 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.________________________________________
Preferred Skills:
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.
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Not Specified
Job Information
Position Type:
Full Time
