EnableComp

Revenue Specialist, Denials (REMOTE)

United States

Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare Revenue Cycle ManagementIndustries

Position Overview

  • Location Type:
  • Job Type: Full-Time
  • Salary:

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM™ intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers’ Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient of the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years.

The Revenue Specialist, Denials acts as the liaison between key client contacts and our denials appeal process to the appropriate payer. The Revenue Specialist, Denials is responsible for the initial denial audit and activities to resolve outstanding claims. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information.

Requirements and Qualifications

  • High School Diploma or GED required. Associates or Bachelor’s Degree preferred.
  • 5+ years’ experience in healthcare field working in billing or collections.
  • 1+ years’ client facing/customer services experience.
  • Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements.
  • Equivalent combination of education and experience will be considered.
  • Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook).
  • Intermediate understanding of ICD, HCPCS/CPT coding, and medical terminology.
  • Strong understanding of the revenue cycle process.
  • Full understanding of hospital reimbursement, Intermediate knowledge of Managed Care contracts, Contract Language, and Federal and State requirements.
  • Familiarity with HMO, PPO, IPA, and capitation terms and how these payors process claims.
  • Intermediate understanding of EOB, hospital billing form requirements (UB04), and familiarity with the HCFA 1500 forms.
  • Demonstrate strong ability to review client/payer contracts to identify complex underpayments.
  • Regular and predictable attendance.
  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Key Responsibilities

  • Review and evaluate Denied and other assigned claims using EnableComp’s proprietary software, systems and tools.
  • Use payment documentation provided by payers and medical provider contract information to determine the correct reimbursement.
  • Research, request and acquire all pertinent medical records and any other supporting documentation necessary and then submit with hospital claims to the appropriate payer to ensure prompt correct claims reimbursement.
  • Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate prompt reimbursement.
  • Other duties as required.

Special Considerations and Prerequisites

  • Practices and adheres to EnableComp’s Core Values, Vision and Mission.

Skills

Revenue Cycle Management
Denials Management
Claims Auditing
Payer Communication
PHI Privacy & Security
Proprietary Software

EnableComp

Maximizes revenue from workers' compensation claims

About EnableComp

EnableComp focuses on helping healthcare providers maximize revenue from complex workers' compensation claims, which are often difficult to manage. The company simplifies this process by using a combination of clinical expertise, data analytics, managed care, and proprietary technology. Their main product, Enforcer, is a software that streamlines the management of these claims, allowing healthcare providers to concentrate on their core operations while EnableComp handles the billing and collections. Unlike competitors, EnableComp operates on an outsourcing model, taking over the claims management process for healthcare providers, which saves them time and resources. The goal of EnableComp is to ensure that their clients receive the highest possible reimbursement from workers' compensation claims.

Franklin, TexasHeadquarters
2000Year Founded
$5.3MTotal Funding
MERGERCompany Stage
Data & Analytics, Consulting, HealthcareIndustries
201-500Employees

Benefits

Flexible Work Hours
Professional Development Budget
Unlimited Paid Time Off

Risks

Emerging RCM technology companies may erode EnableComp's market share with competitive solutions.
Labor shortages in healthcare could impact EnableComp's service delivery and client satisfaction.
Frank Forte's appointment as CEO may lead to strategic shifts, risking client retention.

Differentiation

EnableComp specializes in complex workers' compensation claims management for healthcare providers.
Their proprietary software, Enforcer, enhances efficiency in claims processing and collections.
EnableComp's outsourcing model allows healthcare providers to focus on core operations.

Upsides

Increased AI adoption enhances EnableComp's claims processing and denial management efficiency.
RPA integration in billing offers automation opportunities, improving accuracy for EnableComp.
Healthcare providers' outsourcing trend aligns with EnableComp's business model, boosting partnerships.

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