Current openings

- This full time position reports to the Client Resources Senior Manager. Facilitates the operationalizing of the client-specific MRA service lines including, but not limited to, MVA/Slip & Fall Full COB, Work Comp, Third Party Liability, Liens, and PRU. Develops on-site employees to be MRA’s first line of Quality Assurance and client loyalty. Gathers competitive information. Manages remote hospital on-site employees, independent contractors, temporary staff (“on-sites"), and any on sites who are MRA-employed staff on-site employees and perform all management duties. Develops and provides training to on-sites on client systems and MRA processes. Creates and maintains current client-specific manual for on-sites to include, but not limited to client-specific policy/procedures relative to accident accounts, patient accounting system specific directions, MRA processes, HIPAA compliance, etc. Works with on site hospital staff and Internal Client Resources (ICR) to resolve REQ issues, to effect smooth transfer of information and documents between on site hospital staff and ICR, and develops/maintains cohesive working relationship between on site hospital staff and ICR staff. Interacts with other MRA departments to ensure information and documents received from on sites are timely and accurate, in addition to researching and resolving on site issues with MRA delays in receiving information/documents. Creates and analyzes reports for CS management to identify and resolve any on-sites issues and/or client concerns with on-sites performance. Creates and presents reports to clients during site visits regarding on-sites performance. Creates quarterly written assessment of on sites productivity to CS management and CSRMs. Serves as an interim replacement for on-sites as needed. Assists CSRMs with aged REQ campaign. Builds relationships with employment temp agencies and negotiates temp agency fees. Updates and maintains on site contact information in CRM. Submits Blue Book updates and makes SharePoint announcements relative to on site changes. Performs special projects as required.
REQUIREMENTS: The ideal candidate will have the proven experience working in multiple hospital patient accounting systems, along with a thorough understanding of hospital patient accounting billing/collection processes. Excellent verbal and written communication skills are required. Must have demonstrated skills in Excel, Outlook, Word, and PowerPoint, along with exceptional organizational and time management skills. Ability to work independently with minimal supervision. Demonstrated customer service attitude. High school diploma or equivalent required. College degree or equivalent work experience preferred. Two years general supervisory experience preferred. One year experience with hospital patient accounting systems and billing/collection processes. Must also be able to travel locally and out of state 60-75%. MRA offers a full array of benefits, including medical, dental, and vision coverage, paid time off, flexible spending account, 401k matching and more! To apply, e-mail your resume to careers@medicalreimbursements.com, or fax your resume to the attention of “Careers” at (615) 261-7040. No phone calls, please. MRA is an Equal Opportunity Employer and complies with all Federal and State Regulations.

- Full time position in our office in Franklin, TN. Investigates health insurance claims and bills to ensure claims resolution. Follows-up on unresolved claims and facilitates payment of claims for commercial health, Medicare, and Medicaid. Researches and resolves claims for commercial health, Medicare, and Medicaid. Files correct UB04’s and 1500 HCFA’s with subrogation information to payers for payment. Prepares documentation to notify clients of action required to bill health insurance, Medicare or Medicaid. Closes and returns claims to client upon resolution using correct text and procedures in regards to denial process. Conducts timely follow-up activities to determine claim status and collect and/or provide information to resolve the claim. Assists with new employee training. Provides initial one-on-one training in position basics and best practices, and serves as a resource for new employees. Completes special reports as required, such as aged reports, checklist audits, denial reports, etc.
REQUIREMENTS: The successful candidate will have the ability to communicate effectively verbally and in writing and be able to speak professionally on a one-on-one basis with patients, attorneys, and adjusters to explain what is required and obtain information. HS diploma or equivalent required, along with at least one year experience in a professional office environment. Experience in Health insurance billing, Coordination of Benefits and Subrogation is preferred. MRA offers a full array of benefits, including medical, dental, and vision coverage, paid time off, flexible spending account, 401k matching and more! To apply, e-mail your resume to careers@medicalreimbursements.com, or fax your resume to the attention of “Careers” at (615) 261-7040. No phone calls, please. MRA is an Equal Opportunity Employer and complies with all Federal and State Regulations.

- Full-time opportunity at our Franklin, TN office. Handles all cases for accounts that exceed $10,000 through the entire process of investigation, verification, billing, and follow up. Researches and resolves claims for auto, premise, commercial health, Medicare/Medicaid, and TPL insurance. Files correct UB04’s and 1500 HCFA’s with subrogation information to payers for payment. Makes written and/or verbal appeals to payers on denied claims. Closes and returns claims to client upon resolution using correct text and procedures in regards to denial process. Reviews and investigates ICR and client services inquiries regarding client questions, issues and updates. Works with ICR and client services to resolve issues with client accounts.
REQUIREMENTS: The ideal candidate will have the ability to communicate effectively verbally and in writing and a detailed understanding of other MRA departments in relation to own department. The successful candidate will have the demonstrated ability to work independently and follow-through on assignments with minimal direction, and have the proven ability to be assertive in order to proactively analyze and resolve problems. HS Diploma or equivalent required. Experience in health and/or auto insurance and experience with Coordination of Benefits and Subrogation requirements preferred. MRA offers a full array of benefits, including medical, dental, and vision coverage, paid time off, flexible spending account, 401k matching and more! To apply, e-mail your resume to careers@medicalreimbursements.com, or fax your resume to the attention of “Careers” at (615) 261-7040. No phone calls, please. MRA is an Equal Opportunity Employer and complies with all Federal and State Regulations.

- Full-time opportunity in our corporate office in Franklin, TN. Oversees all activities of the Third-Party Liability team. Focuses on resolving client issues, both internally and externally, increasing employee productivity and overall quality of work. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Responsible for meeting and maintaining department benchmarks and goals, including revenue, aged and overall production goals. Tracks and reports team revenue on a daily basis. Compiles and reviews various productivity reports and audits in order to identify trends, meet goals and/or make protocol changes. Provides follow-up with staff and appropriate departments. Works closely with Legal department to resolve difficult cases. Researches state regulations to make accurate recommendations to Claims Specialists. Develops and conducts department training. Trains new hires in general MRA and Needles training and department-specific training. Performs continuous training through activities such as work review, Training & Quality Improvement sessions, team meetings, one-on-one coaching, etc. Performs Claims Specialist duties as needed. Intervenes on complex cases to proactively reach desired solution. Reviews, edits and approves denial requests. Ensures Claims Specialists are using correct text and responds to any questions, issues, etc, with regard to the denial process. Develops employees to be able to process their own denials. Works with other departments to facilitate best practices for overall effectiveness and protocols and procedures. Devises and implements team projects and incentives to increase effectiveness.
REQUIREMENTS: The ideal candidate will have the ability to communicate effectively verbally and in writing. Proven ability to take initiative and work effectively under minimal supervision. Demonstrated ability to effectively analyze and resolve problems and be assertive in presenting solutions. Working knowledge of computer functions including the internet, and computer software such as Microsoft Office Suite, Word Perfect; knowledge of or ability to learn Needles and SharePoint. Thorough understanding of all equipment, methods, and procedures in order to effectively train new hires and to upgrade the skills of existing personnel. HS Diploma or equivalent required. BA/BS degree or equivalent work experience strongly preferred. Three to five years experience in third-party liability insurance strongly preferred. One to three years management experience required. Experience with Coordination of Benefits and Subrogation requirements is a plus. Legal experience preferred, such as that of a paralegal or law clerk. The understanding of a case from an attorney's perspective is also a plus. MRA offers a full array of benefits, including medical, dental, and vision coverage, paid time off, flexible spending account, 401k matching and more! To apply, e-mail your resume to careers@medicalreimbursements.com, or fax your resume to the attention of “Careers” at (615) 261-7040. No phone calls, please. MRA is an Equal Opportunity Employer and complies with all Federal and State Regulations.

- Full-time opportunity in our corporate office in Franklin, TN. Investigates and bills workers’ compensation claims and resolve troubled and/or denied workers’ compensation claims. Obtains accident details, employer contact information and workers’ comp carrier/claim information. Documents information in Needles. Bills workers’ comp carriers. Obtains and verifies claim information, accident details, carrier billing information, and necessary billing documents from providers. Verifies bill is on file; verifies required documentation was received; and obtains bill processing status. Resolves regular, disputed and denied accounts through communication with adjusters and patients. Reviews EOB’s, resolves medical coding issues and requests by requesting corrected UBs. Processes denied claims (“Denials”). Reviews accounts as needed and returns them clients with a detailed, written explanation for return. Assists department management with new employee training. Provides initial one-on-one training in position basics and best practices, and serves as a resource for new employees. Proactively identifies systemic client issues, such as underpayments, service line issues, etc) and reports these issues to department management. Performs follow-up activities with adjusters to verify receipt of appeal letters, obtain EOB’s, request bill review explanations and/or documentation, dispute charges, dispute contracts, obtain payment information, and provide supporting documentation to support appeal, applicable when working with High Dollar accounts.
REQUIREMENTS: Ability to communicate effectively verbally and in writing. Ability to speak on a one-to-one basis with patients, attorneys and adjusters using appropriate vocabulary and grammar to explain what is required and obtain information. Demonstrated ability to work independently and follow-through on assignments with minimal direction. Working knowledge or ability to learn state workers’ compensation laws and regulations as assigned. Skilled in problem resolution and processing numerous types of denials. Must be able to produce accurate work while maintaining attention to detail. Willingness to work cooperatively in a team environment. Must have a high level of attention to detail and be skilled in organizing and prioritizing work. Basic knowledge of computer operation; working knowledge of Word Perfect and Outlook; working knowledge of or ability to learn Needles and SharePoint. High School Diploma or equivalent required. At least one year overall work experience, preferably in a professional office environment. MRA offers a full array of benefits, including medical, dental, and vision coverage, paid time off, flexible spending account, 401k matching and more! To apply, e-mail your resume to careers@medicalreimbursements.com, or fax your resume to the attention of “Careers” at (615) 261-7040. No phone calls, please. MRA is an Equal Opportunity Employer and complies with all Federal and State Regulations.