EnableComp

Senior Vice President, Denials

United States

Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Revenue Cycle Management, Healthcare, Specialty Healthcare SolutionsIndustries

Position Overview

  • Location Type: Primarily Remote (Potential for occasional travel)
  • Employment Type: Full-Time
  • Salary: Not specified in the provided text. (Please refer to the full job posting for details)

The SVP, Denials is a strategic leadership role responsible for overseeing the growing denials product line within EnableComp. This role requires exceptional leadership, analytical, and communication skills to drive process improvement, team performance, and both margin & revenue growth. EnableComp provides Specialty Revenue Cycle Management solutions leveraging its E360 RCM™ intelligent automation platform.

Key Responsibilities

  • Develop and execute operational strategies to optimize performance across departments.
  • Align departmental goals with company-wide objectives and key performance indicators (KPIs).
  • Serve as a key advisor to the executive leadership team on operational matters.
  • Identify and implement best practices to improve workflows, productivity, and service delivery.
  • Partner with IT/Development to enhance the platform and deliver efficient workflow and automation for the denial product offerings.
  • Oversee the Denials line of business to obtain quantifiable results and set priorities for direct reports.
  • Working with Strategy, collaborate on Denials expansion through inorganic growth focusing on product-related strategies that will drive market positioning and ensure smooth integration of new products and denial-based business into existing organization.
  • Play a key role in conducting diligence and integration planning & execution for all acquired denial entities.
  • Leverage offshore operations to maximize margin while ensuring quality and compliance standards are maintained and workflows are seamlessly integrated with onshore teams.
  • Utilize data-driven decision-making to enhance operations.

Requirements

  • Not specified in the provided text. (Please refer to the full job posting for details)

Company Information

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 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.

Skills

Leadership
Analytical Skills
Communication Skills
Process Improvement
Team Performance Management
Strategic Planning
Operational Strategy
Workflow Optimization
Data-Driven Decision Making
Automation
Integration Planning
Offshore Operations Management

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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