MVA; Motor Vehicle Accident Claims Analyst

MVA (Motor Vehicle Accident) Claims Analyst

Join to apply for the MVA (Motor Vehicle Accident) Claims Analyst role at Transcend Health Solutions, LLC

Direct message the job poster from Transcend Health Solutions, LLC

Transcend Health Solutions specializes in revenue cycle management (RCM) services, offering expertise in complex claims, medical coding, and 340B reimbursement. Our mission is to deliver unparalleled accuracy and reliability to ensure seamless claims processes and maximize reimbursements. By providing meticulous analysis and simplifying administrative complexities, we empower organizations to focus on patient care. Transcend Health Solutions prides itself on being a trusted partner in the healthcare industry.

This is a full-time role, on-site (based in Bradenton, FL) or remote (U.S. only). We are seeking an experienced and detail-oriented MVA Claims Analyst to join our team. This role is ideal for a professional with deep expertise in auto insurance coverage, medical terminology, and claims resolution, particularly related to motor vehicle accident accounts. The ideal candidate must be able to read and interpret EOBs, write compelling appeals, and navigate complex insurance requirements while maintaining outstanding attendance and a commitment to accuracy.

$48,000 - $55,000 per year

• Strong Analytical Skills for reviewing claims data and identifying discrepancies
• In-depth knowledge of various auto insurance coverage types (PIP, Med Pay, Bodily Injury, Liability).
• Experience in Claims Processing and Claims Handling in a professional setting
• Excellent Communication skills for effectively interacting with insurance providers and team members
• Strong written Communication skills for preparing effective appeals and correspondence.
• Knowledge of Insurance practices and procedures, particularly related to motor vehicle accident claims
• Proficiency in data entry and the use of claims processing software
• Detail-oriented approach
• Familiarity with applicable regulations and compliance requirements in claims management
• Familiarity with medical billing terminology and proficient in interpreting EOBs
• Self-motivated mindset
• Ability to multitask and prioritize tasks in a fast-paced, deadline-driven environment
• Proficiency in Microsoft Office and experience with EHR or billing software
• Proven track record of punctuality and attendance
• 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

• 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.

• 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

• Entry level

• Full-time

• Finance and Sales

• Hospitals and Health Care

Referrals increase your chances of interviewing at Transcend Health Solutions, LLC by 2x

Apply BELOW